All Nation Home Healthcare, LLC

The agency failed to ensure each patient received the home health services that are written in an individualized plan of care for eight of nine records reviewed with home health aide (HHA) services (Patient #1, #2, #3, #4, #5, #7, #9 and #10).

The agency failed to ensure home health aides (HHA) were qualified for eight of eight HHA personnel files reviewed (Staff E, F, G, H, K, R, S and T).

The agency failed to ensure home health aides (HHA) provide services that are included in the plan of care for five of ten records reviewed with HHA services (Patient #1, #4, #5, #6, and #11).

The agency failed to ensure the Administrator was responsible for all day-to-day operations of the agency for 11 of 11 personnel files reviewed (Staff B, C, D, F, G, H, J, K, L, M and N).

The agency failed to ensure the home health aide (HHA) provided services that are included in the plan of care for two of three patients reviewed (Patient #1 and #3).

The facility failed to follow the physician's ordered plan of care for Home Health Aide (HHA) hours or services.

The agency failed to ensure the plan of care was followed as per physicians orders.

The the registered nurse failed to document nursing assessments for one ( Patient #3) of three medical records reviewed.

The home health aide failed to document services provided as ordered by the physician.

The administrator failed to obtain approval prior to operating a branch location and to include the reporting structure on the organizational chart.

The facility failed to follow the physician ordered plan of care for ordered nursing duties.