Cape Regional Home Health Care, LLC

The facility failed to ensure that infection prevention practices are implemented in accordance with the Centers for Disease Control's (CDC) recommendations, and facility policy.

The facility failed to ensure that the electronic documentation is completed according to the facility policy.

The facility failed to ensure that 3 complaints were not processed in accordance with facility policy.

The facility failed to perform initial assessments within the required time frame for 6 patients.

The facility failed to ensure that the comprehensive assessment for 2 patients was conducted in accordance with facility policy.

The facility failed to ensure that patient nutritional needs are met in accordance with the nutritional policy for Patient #17. Findings include: Reference: Facility policy, "Nutritional Care and Assessment" states, "... Our Procedure: ... 2.0 All clients will receive a nutritional risk screening…

The facility failed to ensure that the patient plan of care is implemented in accordance with physician orders for 2 patients.

The facility failed to ensure that the patient/caregiver is assessed for appropriateness of medication delivery and educated as needed.

The facility failed to ensure that the physician is notified regarding the patient's altered plan of care.

The facility failed to ensure that the medical record contained a clinical visit note report.