Americare in-Home Care, Inc.

The agency failed to ensure entries to the clinical record were accurate and in accordance with professional standards for three of seven patients (Patients #1, #5, and #6) whose clinical records were reviewed in that, 1. The Plan of Care for Patient #1 was inaccurate.

The agency failed to ensure that the plans of care included all the required components for four of seven patients (Patients #1, #2, #3, and #5) whose clinical records were reviewed, in that: 1. The plan of care for Patient #1 failed to include complete orders for tracheostomy (a surgically created…

The agency failed to obtain a physician order to provide services and treatments to one of seven patients (Patient #3) whose records were reviewed in that the nurses applied a compression bandage to Patient #3's leg without an order.