At Home Rehab

The Agency failed to ensure the needs of the patient were met when Physical Therapy (PT) had discharged the patient in a state of clinical decline in 1 (P-7) of 3 records reviewed with Agency discharge by PT services, from a total sample of 7 records reviewed, resulting in the patient being…

The Agency failed to ensure the resumption of care (ROC) comprehensive assessment accurately reflected the patient's current health status in 1 (P-7) of 1 record reviewed with a ROC, out of a total of 7 sampled records, resulting in incomplete clinical information and the potential for unmet care…

The Agency failed to ensure the Plan of Care (POC) covered all pertinent interventions with reportable parameters, and objectively measurable goals specific to the needs of the patient for 1 (P-7) of 1 record reviewed with diagnosis of congestive heart failure, from a total sample of 7 records…

The Agency failed to ensure the physician was promptly notified of elevated blood pressure readings outside of the reportable parameters for 1 (P-5) of 7 records reviewed in total, resulting in the potential to negatively affect the health and well-being of this patient.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on a past medical history that included dates of onset, exacerbations, treatments and outcomes, baseline data, history of events leading to current home care…

The agency failed to ensure the plan of care included patient specific objectively measurable goals and outcomes in 5 of a total of 10 sampled records reviewed (MR#s: 1, 2, 3, 4 and 5), and failed to include reportable parameters for physician notification of the patient's health status, resulting…