Angels Care Home Health

The agency's registered nurse (RN) failed to conduct an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician ordered start of care date for 4 of 10 patient records…

The agency failed to ensure the individualized plan of care (POC) includes all safety measures to protect against injury for 6 of 10 patient records reviewed for POC contents.

The agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition or needs that suggest the outcomes are not being achieved and/or the plan of care (POC) should be altered for 1 of 10 patient records reviewed for coordination of care.

The agency's skilled professional failed to communicate with all physicians involved in the plan of care (POC) and other health care practitioners related to the current POC for 1 of 10 patient records reviewed for skilled professional responsibility.