Caring Nurses Home Health Agency Inc

The agency failed to ensure the encoded Outcome and Assessment Information Set (OASIS) data accurately reflected the patient's status in two (Record/Patients #1 and #3) of six records reviewed.

The agency failed to ensure the registered nurse (RN) documented specific comments regarding the tasks observed and the aides performance as required in one (Employee #4) of one health aide employee file reviewed.

The agency failed to ensure an accurate medication reconciliation was completed in, but not limited to one (Record/Patient #1) of six records reviewed.

The agency failed to ensure the plan of care (POC) included all of the required elements in, but not limited to, three (Records/Patients #1, #3, and #5) of six records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition for one (Record/Patient #3) of six records reviewed.

The agency failed to provide services as ordered by the physician on the plan of care (POC) in, but not limited to one (Record/Patient #5) of six records reviewed.

The facility failed to follow infection control standards during wound care for one (Record/Patient #1) of one wound care observation.

The agency failed to provide/send a completed transfer summary to the responsible physician within two business days of the patient's transfer in one (Record/Patient # 2) of six records reviewed.