Ar Meth Med Ctr HH

The Skilled Nurse (SN) failed to obtain orders and include all medications utilized by the patient on the medication list in 1 (#2) of 12 (#1-#12) clinical records reviewed.

The Agency failed to obtain orders for a foley catheter in 1 (#8) out of 12 (#1-#12) clinical records reviewed.

The agency failed to coordinate care delivery to ensure physical therapy services provided in 1 (#3) out of 12 (#1-#12) clinical records reviewed.

The clinical staff did not follow Physician orders for Home Health Aide (HHA) visit frequency in 1 (#2) of 12 (#1 - #12) records reviewed.

The Agency did not ensure a Registered Nurse (RN) conducted a review of all medications in 2 (#2, and #7) of 10 (#1 through #10) Clinical Records reviewed.

The Agency Staff did not include relevant patient specific interventions related to the patient's primary diagnosis to address the Patient's significant weight gain in 1 (#5) of 1(#5) Clinical Records reviewed for patients with a primary diagnosis of heart disease.

Staff interview the Agency failed to ensure a complete Discharge/Transfer Summary was sent to the Physician after discharge in 1 (#6) of 3 (#6 - #8) Clinical Records reviewed with transfer/discharge status.

Staff interviews failed to show the Administrator was responsible for day to day operations of the Home Health Agency.