Ami - Wellness

The agency failed to ensure patient-specific written care instructions for the certified nurse aides (CNA) were prepared by the registered nurse (RN) for 5 of 7 patient reviewed who received CNA services (Patients #1, #5, #A, #B, and #C).

The agency failed to ensure the certified nurse aide (CNA) provided services as ordered by the physician and included in the Plan of Care for 2 of 5 patient records reviewed receiving CNA services (Patients #1 and #5).

The following standard level deficiencies were cited: G798 - Standard - The agency failed to ensure the registered nurse (RN) prepared patient-specific written care instructions for the certified nurse aide (CNA) to perform a bowel program in 1 of 3 patients reviewed who received a bowel program…

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 (Patients #8).

The agency failed to ensure the registered nurse (RN) prepared patient-specific written care instructions for the certified nurse aide (CNA) for 1 of 4 patient records reviewed with a bowel program (Patient #4).

The agency failed to ensure clinical records contained accurate and complete documentation of pertinent past and current findings in accordance with accepted professional standards for 2 of 10 patients reviewed (Patients #1 and #10).

The agency failed to ensure the physician was notified of a change in condition for 1 of 1 patient reviewed with a change in condition (Patient #5).

The agency failed to ensure certified nurse aides (CNAs) provided services as ordered by the physician and included in the Plan of Care for 4 of 5 patients reviewed receiving CNA services (Patients #1, #3, #4 and #7).

The agency failed to ensure certified nurse aides (CNA) completed appropriate records for 3 of 3 patient records reviewed who had a bowel program administered by a CNA (Patients #1, #4 and #7).