A's Home Health Care, Inc

The agency failed to ensure a comprehensive assessment was completed for one of seven sampled patients (Patient 5) when physical therapy did not evaluate the patient within 5 days of the start of care.

The agency failed to ensure the plan of care consisted of the frequency for certified home health aide (CHHA) visits for one of seven sampled patients (Patient 2).

The agency failed to ensure an individualized care plan was created and indicated skilled nursing visit frequencies within three days from admission for one of two sampled patients (Patient 1).

The agency failed to complete the comprehensive assessment within five days of the start of care for one of three sampled patients (Patient 1) when the Registered Nurse (RN) did not complete Patient 1's initial admission assessment.

The agency failed to ensure the comprehensive assessment was updated by a discharge assessment and transfer summary within two days of the discharge for one of three sampled patients (Patient 1) when Patient 1 was discharged to an acute care hospital with a wound infection.

The agency failed to ensure treatments were administered only as ordered by a physician for one of three sampled patients (Patient 1) when there was no physician's order for a wound treatment to Patient 1's right leg and the Licensed Vocational Nurse (LVN) did not follow the physician’s order for…

The agency failed to ensure a Licensed Vocational Nurse (LVN 1) prepared clinical notes within 72 hours of the date of the visit for one of three sampled patients (Patient 1).