Cambridge Caretenders

The agency failed to conduct a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with…

The agency failed to provide home health services as written in the plan of care for two of three patients reviewed (Patient #1 and #3).

The agency failed to ensure the Quality Assessment and Performance Improvement (QAPI) program measured and analyzed quality indicators to assess processes of care and operations from one of two of the agency's approved branch locations (G0642).

The agency failed to ensure home health aides followed the home health aide plan of care (G800).

The agency failed to ensure the administrator at the parent location was responsible for the day to day operations at two of two approved branch locations and the parent location (G948).

The agency failed to ensure the QAPI program measured and analyzed quality indicators to assess processes of care and operations from one of the agency's two approved branch locations.

The agency failed to utilize quality indicator data or other relevant data from one of the agency's two approved branch locations.

The agency failed to analyze adverse patient events, their causes, and implement preventive actions for one of two of the agency's approved branch locations.

The agency failed to issue a 30 day written notice prior to discharge of a patient.

The agency failed to complete an updated medication review.

The agency failed to complete an comprehensive assessment as required.

The agency failed to complete an a discharge summary and assessment as required.

The agency failed to notify the physician of a change to the patient's wound for one of ten patients reviewed (Patient #5).

The agency failed to have activities focusing on high risk, high volume, or problem-prone areas for one of the agency's two approved branch locations.

The agency failed to consider incidence, prevalence, and severity of problems in problem prone areas for one of two of the agency's approved branch locations.

The agency failed to ensure wound measurements were recorded and wound care was documented as ordered for one of ten patients reviewed (Patient #4).

The agency failed to ensure nursing staff followed the agency's policy regarding documentation of wound measurements for one of ten patients reviewed (Patient #5).

The agency failed to ensure home health aides followed the home health aide plan of care for one of five patients reviewed that were receiving home health aide services (Patient #10).

The agency failed to ensure a home health aide supervisory visit was completed within 14 days for one of four patients reviewed who were receiving skilled services and home health aide services (Patient #6).

The agency failed to perform a supervisory visit at least every 60 days while the aide was present and providing care for two of two patients reviewed who were not receiving skilled services (Patients #8 and #10).

The failed to ensure the administrator at the parent location was responsible for the day to day operations at two of two approved branch locations and the parent location.

The agency failed to ensure the parent location provided direct support and administrative control at one of two approved branch locations (Steubenville).