Caretenders

The agency failed to ensure the individualized plan of care was signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration, for 3 patients (#5, #10 and #8), out of a total sample of 17 patients.

The agency failed to ensure gloves were doffed (removed), hand hygiene was performed and gloves were donned (putting on) and infection control guidelines were maintained during a wound dressing change observation for 1 patient (#6), out of a total sample of 7 patient home visits.

The agency failed to ensure clinical documentation was complete and appropriately authenticated and dated in accordance with currently accepted standards of practice for 8 patients (#3, #6, #9, #12, #16, #2, #5, and #17), out of a total sample of 17 patients.

The agency failed to ensure the initial assessment visit was held either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner ordered start of care date, for 2 patients (#2 and #17), out of a total sample of 17 patients.

The agency failed to ensure that services were provided as ordered by the physician or allowed practitioner, as indicated in the plan of care, for 3 patients (#3, #7, and #12), out of a total sample of 17 patients.

The agency failed to ensure staff communicated with the physician involved in the plan of care, related to the current plan of care (POC), for 3 patients (#3, #7, and #12), out of a total sample of 17 patients.

The agency failed to ensure all interventions including medication administration, treatments, and services, and the responses to those interventions were documented, for 3 patients (#2, #5 and #8), out of total sample of 17 patients.

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional responsible for providing care and services to the patient after discharge from the agency within 5 business days of the patient's discharge, for 1 patient (#14)…

The Agency failed to ensure its staff conformed with the Physician's orders for three Patients (#4, #15 and #6), out of a total sample of 17 Patients.

The Agency failed to ensure its staff provided an initial comprehensive assessment visit within 48 hours of a referral, for one Patient (#6), out of a total sample of 17 Patients.

The Agency failed to ensure its staff communicated with the Physician when the care plan was not followed as ordered for Skilled Nursing Visits (SNV) for two Patients (#4 and #6), out of total sample of 17 Patients.

The agency failed to conduct onsite home health aide supervisory visits every 14 days, for 3 patients (#10, 15 and 21), out of 9 patients with home health aide services, out of a total sample of 21 patients.