Clarion Forest Vna Inc

The agency failed to ensure that acceptable standards of practice for infection control/prevention were maintained for four (4) of six (6) OBS (HV #3, #4, #5 and #6).

The agency failed to ensure the plan of treatment included complete orders for individualized plan of care required for two (2) of seventeen (17) CR reviewed (CR 13 and CR 14).

The agency failed to include all of the patient's medications on the plan of care for two (2) of two (2) home visits when the patient's medications and medication lists were reviewed (HV1, & HV2).

The agency failed to promptly notify the physician to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for three (3) of 18 records reviewed (CR1, CR2, & CR5).

Skilled professional services failed to assume responsibility of the patient and conduct ongoing an assessment of the patient for 8 of 10 clinical records reviewed receiving physical therapy (PT) and/or occupational therapy (OT) service (CR1, CR2, CR3, CR5, CR7, CR9, CR12, & CR18).

The agency failed to ensure staff followed acceptable standards of practice for three (3) of four (4) observations of nursing bag technique (HV#1, HV#3, & HV#5).

The agency failed to maintain an accurate medication profile to ensure review of all medications the patient was taking in order to identify and address potential adverse effects, drug reactions, ineffective drug therapy, significant side effects, drug interactions, duplicative therapy, and…

The agency failed to include all required components in patient individualized plans of care for seven (7) of seventeen (17) CR reviewed (CR2, CR8, CR10, CR13, CR15 - CR17).

The agency failed to promptly alert the physician to changes in patient condition/needs that suggested outcomes were not being achieved and/or the plan of care should be altered for twelve (12) of seventeen (17) CR reviewed (CR1 - CR3, CR5, CR9 - CR12, CR14 - CR17).

The agency failed to provide skilled professional services ordered by the physician as indicated in the plan of care for thirteen (13) of seventeen (17) CR reviewed (CR1 - CR4, CR8 - CR14, CR16, CR17).

The agency failed to provide services in accordance with clinical practice guidelines and accepted professional standards of practice for four (4) of eight (8) home visits (HV) observed (HV1, HV3, HV7, HV8).