247 Avare Healthcare

Specifically, the agency failed to ensure each patient received home health services in accordance with a written plan of care established, reviewed and authorized by a physician prior to rendering services; to ensure services and treatments were provided in conformance with physician's orders; to…

Additionally some documents were not identified as late entries.

The agency failed to ensure that each patient received home health services in accordance with a written plan of care established, periodically reviewed, and signed by a physician.

THIS IS A REPEAT DEFICIENCY PREVIOUSLY CITED ON 1/14/20. Based on interview and record review the agency failed to ensure services and treatments were provided in accordance with physician's orders for 8 of 10 patient's records reviewed (Patients #1, #2, #3, #4, #5, #6, #7, and #8).

The agency failed to ensure clinical record entries were complete and appropriately authenticated, dated, and timed for 3 of 4 patient records reviewed receiving home health aide (HHA) services (Patient #2, #4, and #6).

The agency failed to ensure treatments and services were provided only as ordered by the physician for 6 of 10 patient's records reviewed, who received skilled nursing services (Patient #1, #2, #3, #4, ,#6, and #7) AGENCY POLICY According the agency's policy, "Physician Orders," undated. "All…

The agency failed to ensure the clinician responsible for furnishing or supervising services based on physician's verbal orders, documented the orders in the patient's clinical record, and signed, dated, and timed the orders in 3 of 10 clinical records reviewed (Patients #4, #6, and #7).

The agency failed to ensure each patient's individualized plan of care was reviewed by the physician at least every 60 days, beginning with the start of care date.

The agency failed to ensure clinical records contained current and accurate documentation of patient's clinical notes, assessments, plans of care and orders for 9 of 10 patient's records reviewed (Patients #2, #3, #4, #5, #6, #7, #8, #9, and #10).

THIS IS A REPEAT DEFICIENCY PREVIOUSLY CITED ON 1/14/20. Based on interview and record review, the agency failed to ensure a discharge summary was sent to the primary care practitioner within five business days of discharge and a transfer summary within two business days of becoming aware of a…

The agency failed to ensure care was provided according to each patient's individualized written plan of care, in conformance with physician orders, for 1 of 3 patients reviewed receiving SN services (Patient #3).

The agency failed to ensure a discharge summary was sent to the primary care physician within two business days of becoming aware of a patient's discharge for 1 of 2 discharge records reviewed (Patient #3).

THIS IS A REPEAT DEFICIENCY, PREVIOUSLY CITED ON 7/22/15. Based on interview and record review, the agency failed to ensure clinical oversight and direction of the referral process and appropriate coordination to effectively support patient care and service needs as ordered by the physician.

The agency failed to ensure the patient's right to confidentiality of personal information was protected for 1 of 7 clinical records reviewed (Patient #1).

THIS IS A REPEAT DEFICIENCY, PREVIOUSLY CITED ON 7/22/15. Based on interview and record review, the agency failed to ensure the Registered Nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral, or within 48…

The agency failed to ensure a physical therapist (PT) completed an initial assessment visit within 48 hours of referral for 1 of 1 clinical records reviewed with only ordered rehabilitation therapy services (Patient #3).

The agency failed to coordinate with the physician to ensure physician orders were clarified and to obtain approval for delayed initiation of care and services for 2 of 7 clinical records reviewed (Patient's #2 and #7).