| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017037 | (X3) Date Survey Completed 11/21/2019 |
| Name of Provider or Supplier Alabama Homecare Of Montgomery, Llc | Street Address, City, State 400 South Union Street Suite 285, Montgomery, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| G0714 | Patient and caregiver education CFR(s): 484.75(b)(5) Patient and caregiver education; This ELEMENT is not met as evidenced by: Based on Medical Record (MR) review and interview with staff it was determined the agency failed to provide education to the patient and or caregiver for infection control and prevention for patients with wounds. This deficient practice affected 1 of 4 home visit patients with wounds including HV # 5 and had the potential to affect all patients served by this agency. Findings include: 1. HV # 5 was admitted to the agency on 11/5/19 with diagnoses including Type 2 Diabetes Mellitus, Chronic Ulcer of Left Lower Leg, Chronic Ulcer of Right Lower Leg, and Essential (Primary) Hypertension. Review of the Home Health Certification and Plan of Care (POC) dated 11/5/19 to 1/3/19 revealed physician ordered Skilled Nurse (SN) 3 wk 9 (3 times a week for 9 weeks) to change dressing to wounds on left and right pretibial area and "to instruct client/caregiver regarding infection control measures." Review of the SN Visit Note Reports on 11/5/19, 11/7/19, 11/9/19, 11/11/19, 11/13/19, and 11/16/19 revealed no documentation of patient or caregiver education on infection prevention. An interview was conducted on 11/21/19 at 10:40 AM with EI # 1, Executive Director, who confirmed the above findings. |