Canyon Home Care

The agency failed to ensure the individualized Plan of Care included complete orders for interventions, treatments, or medications in 2 of 12 current patient records reviewed (Patients #1 and #9).

The agency failed to ensure the patient received care in conformance with physician's orders and as indicated in the plan of care for 2 of 4 active patient records reviewed who received wound care (Patients #6 and #7).

The agency failed to ensure clinical records contained accurate documentation of pertinent past and current findings in accordance with accepted professional standards for 1 of 12 active patients' records reviewed (Patient #5).

The agency failed to ensure a registered nurse (RN) or other appropriate skilled professional familiar with the patient, the patient's plan of care and the written patient care instructions made an onsite visit to the patient's home no less frequently than every 14 days to conduct certified nursing…

The agency failed to ensure each patient's plan of care included all medications, interventions, equipment and types of services and treatments for 3 of 13 patients reviewed (Patients #3, #6 and #9).

The agency failed to ensure care was provided according to each patient's individualized written plan of care, in conformance with physician orders, for 1 of 1 patients reviewed receiving medical social worker (MSW) services (Patient #3).

The agency failed to ensure nursing staff complied with professional standards and principles pertaining to appropriate infection control during the provision of care for 1 of 1 patients reviewed who required wound care (Patient #1).

The agency failed to ensure a Registered Nurse (RN) performed the competency evaluation for 1 of 1 Certified Nurse Aide (CNA) personnel record reviewed (CNA #6).

The agency failed to ensure patient-specific written care instructions for the certified nurse aides (CNAs) were prepared by the registered nurse (RN) for 1 of 1 patient reviewed who received CNA services that included a bowel program (Patient #2).

The agency failed to ensure the physician was notified of a change in OT visit frequency for 1 of 1 patients reviewed with OT services (Patient #3).

The agency's supervision of the certified nurse aides (CNAs) failed to ensure the CNAs furnished care in a safe and effective manner including ensuring their competency with assigned tasks for 1 of 1 patients reviewed who received physician ordered CNA bowel program services (Patient #2) . Findings…

Administration failed to provide basic functional oversight of the operations of the agency.

The agency failed to ensure an initial assessment was conducted by a Registered Nurse (RN) within 48 hours of physician referral in 2 of 17 patients records reviewed (Patients #3 and #10).

The agency failed to ensure patient-specific written care instructions for the Certified Nurse Aide (CNA) were updated following a physician order for a change in services in 3 of 8 patients receiving CNA services (Patients #6, #10 and #16).

The agency failed to ensure all complaints made on behalf of agency patients were documented in the agency's complaint log further failed to demonstrate the investigation and resolution of complaints.

The agency failed to ensure an initial assessment was conducted by a Physical Therapist (PT) within 48 hours of referral by a physician in 1 of 2 patient records reviewed receiving PT-only services (Patient #10).

The agency failed to ensure a comprehensive assessment was completed no later than five calendar days after each patient's start of care for 1 of 5 patient records reviewed who received therapy services (Patient #5).

The agency failed to ensure certified nursing aides (CNAs) provided patient specific services as set forth on the plan of care orders for 2 of 8 patients records reviewed who received CNA services (Patient #6 and #16).

The failure to ensure training and competency of CNAs prior to the provision of patient care created the potential for the provision of inappropriate and/or unsafe patient care.

The agency failed to ensure the home health aide (certified nurse aide, CNA) completed appropriate records for 1 of 8 patient records reviewed who received CNA services (Patient #6).

The Administrator failed to adequately and effectively organize and direct the agency's ongoing functions.

The Director of Nursing (DON) (Clinical Manager) failed to participate in all activities relevant to the professional services furnished, including the provision of the agency's clinical direction, clinical oversight and supervision in accordance with requirements set forth in regulation.