Every finding on record at Charter Healthcare of Las Vegas, LLC

Observed in Patient Home. In 1 of 3 home visits, Nurse Surveyor noted the Plan of Care was not reviewed for accuracy prior to care. During HSHV/RR#3, the oxygen was observed at 2L, however the plan of care stated 4 LPM. This was not checked during visit, after leaving the home, nurse surveyor discussed the oxygen rate and nurse returned into the home to correct the concentrator to the correct rate. This was reviewed and validated with the DPCS who was present for the visit.

Observed in Patient Home. In 1 out of 3 home visits conducted, the nurse surveyor noted that the organization had not implemented its infection prevention and control activities. The Bag Technique policy(9.27), stated bag is placed on clean surface and barrier is utilized as appropriate.. In HSV/RR #1, the MSW did not follow the organization's bag technique policy.  The bag was placed on the patient's floor with a barrier of a paper towel on each end of the bag leaving the middle of the bag exposed to the floor. This was reviewed and confirmed with the DPCS. Observed in Patient Home. In 1 out of 3 home visits conducted, standard precautions were not used to reduce the risk of infections. The organizations hand hygiene policy (9.26) states that when hand hygiene is performed with soap and water that hands are dried with disposable towel. During HSHV/RR #1 the MSW was observed drying his hands with a cloth towel that was at the group home after washing his hands with soap and water. This was discussed with the DPCS. Observed in Patient Home. In 1 of 3 Home visits the registered nurse did not follow processes to reduce the risk of infections associated with supplies/equipment. During HSV/RR #3 the Register Nurse used Sani-wipes to clean equipment in the patient home after use and did not observe the 3 minute wet time as required by manufacturer. This was discussed with the DPCS.

Observed in HR File Review. In 1 of 2 personnel files reviewed of aides, the competency was not completed by a Registered Nurse. In HR #7, the initial competency of the aide was done by the Executive Director of the company who is not an RN.  This was reviewed with the DCPS and the Executive Director.