Amedisys Home Health Care

“A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This Element is not met as evidenced by: Based on policy and procedure, clinical record review, observation, and patient interview the agency failed to review all current medications for 3 of 4 home visits conducted (#13,16, and 17). Findings included: Review of policy “Drug Regimen Review”, revised 01/15/2026 was received from the agency staff on 07/29/2026 at 1533. The policy stated,” …recording a complete and accurate list of all medications including but not limited to medication on written prescriptions, and medication bottles, over the counter medications herbal products and vitamins and supplements…” 1.Patient #13 was admitted on 07/23/2026 with a diagnosis of chronic diastolic congestive heart failure (heart doesn’t pump blood well) The plan of care for 07/23/2026 to 09/20/2026 included the following orders: physical therapy 1 time a week for 5 weeks, and 1 time a week every 2 weeks for 2 weeks. Occupational therapy 1 time a week for 1 week. A home visit was conducted on 07/28/2026 at 1200 with the occupational therapist. A review of current medications was conducted with the patient during the home visit. The review revealed the following discrepancies: nebulizer machine used once a day for breathing treatments and Vitamin B 12 5,000 Mcg(micrograms) 1 tablet by mouth daily. Interview with the patient/caregiver on 07/28/2026 at 1225 revealed, “he stopped using the vitamin 6 months ago… he’s been using the nebulizer daily for about a month now…”. 2. Patient #16 was admitted on 07/24/2026 with a diagnosis of fracture of unspecified part of neck of left femur, initial (broken bone of the leg). The plan of care for 07/24/2026 to 09/21/2026 included the following orders: physical therapy 1 time a week for 7 weeks and occupational therapy 1 time a week for 1 week. A home visit was conducted on 07/29/2026 at 1000 with the physical therapy assistant. A review of current medications was conducted with the patient during the home visit. The review revealed the following discrepancies: multivitamin take 1 tablet daily by mouth and triple magnesium 400mg (milligram) supplement for bones and muscles. Interview with the patient/caregiver on 07/29/2026 at 1010 revealed, “I’ve been taking this for a while…” 3. Patient #17 was admitted on 07/01/2026 with a diagnosis of other complications of procedures inflammation/infection of dialysis catheter. The plan of care for 07/01/2026 to 08/29/2026 included the following orders: skilled nursing 1 time a week for 9 weeks. A home visit was conducted on 07/29/2026 at 1150 with the licensed practical nurse. A review of current medications was conducted with the patient during the home visit. The review revealed the following discrepancies: albuterol sulfated 90 mcg (micrograms) inhaler for shortness of breath was stopped and Sildenafil 25 mg (milligrams) take 2 to 4 tablets by mouth weekly as needed for erectile dysfunction. Interview with the patient on 07/29/2026 at 1225 revealed, “I’ve been taking that medicine for about 3 years if I need it”.”

“Communication with all physicians CFR(s): 484.60(d)(1) Standard: Coordination of Care. The HHA must: (1) Assure communication with all physicians or allowed practitioners involved in the plan of care. This Element is not met as evidenced by: Based on agency policy and procedure, clinical record review, and staff interview the agency failed to coordinate care with the physician regarding redness and swelling of a wound for 1 of 3 wound records reviewed (#18). Findings included: A policy, “Coordination of Care”, revised 05/22/2024 was received from the agency director on 07/30/2026 at 1104. The policy stated…agency staff involved in the patients’ plan of care provided patient related updates in a timely manner to the physician /allowed practitioner and include as appropriate…changes in patient condition…” Patient #18 had a SOC (start of care) of 07/06/2026 and included diagnoses of venous insufficiency (poor circulation), non-pressure ulcer of left calf and laceration without foreign body. Review of the skilled nursing visit note for 07/27/2026 revealed the patient’s leg and foot noted to be very red and swollen, patient complain of extreme pain skilled nurse concerned for wound infection. Skilled nurse discussed with patient the need for further evaluation patient agrees and called her son to take her to the emergency room pictures and measurements obtained. No documentation was in the record that the physician was notified of these findings. Interview with the agency director on 07/30/2026 at 1007 revealed, “…the expectation is the clinician notify the doctor of any change in condition…”. The licensed practical nurse confirmed she didn’t call the provider at 1055 on 07/30/2026.”