Bond County Health Department

In 1 of 7 (Pt #6) medical records reviewed, the Agency failed to ensure staff provided care per the physician’s orders.

For 1 of 6 patients (Pt #3) receiving therapy services, the Agency failed to notify the physician for continuation of therapy services.

For 2 of 7 patients (Pt #2, Pt #6) clinical records reviewed, the Agency failed to ensure all documentation was accurate, complete and in the patient's record.

For 1 of 7 patients (Pt #6), the Agency failed to ensure the Plan of Care (POC) addressed all of the patient's problems.

For 1 of 3 patients (Pt #6) who were discharged from the agency, the nurse failed to complete documentation of the discharge visit.