Chelsea Health Care LLC

The agency failed to ensure the skilled nurse communicated the patient's medication needs to the physician in a timely manner in order to prevent missed doses.

The facility failed to ensure emergency preparedness policies addressed patient mobility.

The facility failed to ensure treatments were administered only as ordered by the physician or allowed practitioner for two of seven patients reviewed (Patient #3 and #2).

The facility failed to ensure the relevant physician or allowed practitioner was notified of changes in the patient's condition that suggested that outcomes were not being achieved and/or that the plan of care should be altered for one of seven patients reviewed (Patient #1).

The agency failed to provide skilled nurse visits as directed for one of four sampled patients, Patient #1. The census was 57 patients.

The facility failed to include a specific duration and frequency of skilled nurse visits to be provided.