Angels Care Home Health of San Angelo

The agency failed to ensure the individualized plan of care included information regarding the types of supplies and equipment required for 1 of 1 (Patient #4) patient reviewed in that the agency failed to include the size of suprapubic catheter required by Patient #4 on the plan of care for this…

The skilled nurse failed to ensure appropriate development and evaluation of the plan of care by ensuring the individualized plan of care included information regarding the types of supplies and equipment required for 1 of 1 (Patient #4) patient reviewed in that the agency failed to include the…

The clinical manager failed to ensure all agency policies were enforced when making patient and personnel assignments for 1 of 1 (Patient #2) patient reviewed with a Pleurx catheter in that: The clinical manager failed ensure the agency complied with its written policy regarding determination of…

The agency failed to ensure the individualized plan of care included information regarding the types of supplies and equipment required for 1 of 1 (Patient #4) patient reviewed in that the agency failed to include the size of suprapubic catheter required by Patient #4 on the plan of care for this…

The agency failed to ensure services and treatments were administered only as ordered by a physician for 2 of 2 (Patient #2 and Patient #4) patients reviewed in that: The skilled nurse failed to complete a sterile dressing change as ordered by the physician in the written plan of care for Patient…

The agency failed to promptly alert the physician to any changes in the patient's condition or needs for 1 of 1 (Patient #4) patient reviewed who developed a new wound during the time period reviewed and who experienced an increase in the size of a wound in the time period reviewed in that: The…

The skilled nurse failed to ensure appropriate development and evaluation of the plan of care by ensuring the individualized plan of care included information regarding the types of supplies and equipment required for 1 of 1 (Patient #4) patient reviewed in that the agency failed to include the…

The skilled nurse failed to provide services as ordered by the physician in the plan of care for 4 of 13 (Patient #2, Patient #4, Patient #5, and Patient #8) patients reviewed in that: The skilled nurse failed to complete a sterile dressing change as ordered by the physician in the written plan of…

The agency failed to ensure communication with all physicians involved in the plan of care and other health care practitioners related to the current plan of care for 2 of 13 (Patient #4 and Patient #5) patients reviewed in that: The skilled nurse failed to notify the physician of a new wound for…

The clinical manager failed to ensure all agency polices were enforced when making patient and personnel assignments for 1 of 1 (Patient #2) patient reviewed with a Pleurx catheter in that: The clinical manager failed ensure the agency complied with its written policy regarding determination of…

The clinical manager failed to ensure coordination of patient care for 2 of 13 (Patient #4 and Patient #5) patients reviewed in that: The clinical manager failed to ensure the skilled nurse notified the physician of a new wound for Patient #4 in a timely manner; The clinical manager failed to…

The clinical manager failed to ensure the development and implementation of the plan of care for 4 of 13 (Patient #2, Patient #4, Patient #5, and Patient #8) patients reviewed in that: The clinical manager failed to ensure the skilled nurse completed a sterile dressing change as ordered by the…

The agency failed to provide skilled nursing services in accordance with current clinical practice guidelines and accepted professional standards of practice for 1 of 1 (Patient #2) patient with a pleural catheter in that: The skilled nurse failed to complete a sterile dressing change as ordered by…

The skilled nurse failed to ensure ongoing assessment of the patient for 1 of 4 (Patient #1) patients reviewed in that: The skilled nurse failed to ensure ongoing assessment of Patient #1's left lower buttock wound; The skilled nurse failed to ensure ongoing assessment of Patient #1's blood glucose…

The skilled nurse failed to ensure ongoing assessment of the patient for 1 of 4 (Patient #1) patients reviewed in that: The skilled nurse failed to ensure ongoing assessment of Patient #1's left lower buttock wound; The skilled nurse failed to ensure ongoing assessment of Patient #1's blood glucose…

The skilled nurse failed to ensure appropriate development and evaluation of the plan of care for 1 of 4 (Patient #1) patients reviewed.

The skilled nurse failed to ensure services were provided as ordered by the physician in the written plan of care for 1 of 4 (Patient #1) patient reviewed in that: The skilled nurse failed to ensure wound care was provided to Patient #1 as ordered by the physician in the written plan of care; The…

The skilled nurse failed to prepare clinical notes in accordance with the agency's policy for 1 of 4 (Patient #1) patients reviewed in that the skilled nurse failed to document clinical activities on the day the activity was performed and failed to ensure clinical documentation was incorporated…

The skilled nurse failed to ensure communication with the physician for 1 of 4 (Patient #1) patients reviewed in that the skilled nurse failed to notify the physician of an increase in Patient #1's ankle circumference of more than 2 cm in 24 hours which was an intervention ordered by the physician…