A-1 Nursing Care, LLC

The agency staff failed to provide services only as ordered by the physician for two of seven patient medical records reviewed (Patient #1 and #2).

The Registered Nurse failed to be specific on the written instructions and /or tasks for services to be provided by the home health aide.

The agency failed to ensure patients had individual emergency preparedness plans in their medical record.

The agency failed to ensure all staff were trained and demonstrated knowledge of emergency procedures.

The agency failed to ensure the medication profile for a patient was updated with changes.

The agency failed to ensure the plan of care for Patient #6 had accurate wound care orders.

The agency failed to ensure the physician was promptly notified of services not being provided as ordered.

The agency failed to ensure a patient's wounds were measured weekly as required.