Alamosa County Public Health Department

The agency failed to ensure services and treatments were provided in conformance with physician's orders for 1 of 2 patients reviewed receiving wound care (Patient #8).

The agency failed to ensure the skilled professional assumed responsibility for the needs of Patient #8. Specifically; the Registered Nurse (RN #6) failed to complete ongoing assessments and provide pertinent education to protect the safety of the patient, caregiver and staff of the agency.

The agency failed to ensure the Registered Nurse (RN) provided patient specific written care instructions to include frequency of visits and infection control precautions with 1 of 1 patient (Patient #8) receiving Home Health Aide (HHA) services.

The agency failed to ensure an initial assessment was provided within 48 hours of referral by a physician in 3 of 10 patients reviewed (Patient #2, #5 and #9).

The agency failed to ensure Occupational Therapy (OT) completed their assessments no later than five calendar days after each patient's start of care for 1 of 2 patients reviewed who required therapy services (Patient #8).

The agency failed to ensure clinical records contained accurate and complete documentation of services provided in accordance with accepted professional standards for 1 of 3 discharged patients (Patient #8).

The agency failed to ensure Certified Nurse Aide (CNA) supervision occurred at least every two weeks for 1 of 6 patients receiving skilled nursing care and CNA services (Patient #4).