Cohesive Healthcare

The agency failed to ensure: 1. SN notified the physician of blood pressure levels outside the ordered parameters for one (Patient #3) of twelve patients; 2. SN provided treatment as ordered for one (Pt #4) of twelve patients; 3. SN notified the physician of pain levels outside the ordered…

The agency failed to ensure a home health aide supervisory visit were completed every 14 days for two (Patients #1 and 2) of seventeen patients.

The agency failed to ensure the review/revision of the community-based risk assessment (All Hazards Risk Assessment) for all employees and 115 current patients Findings: A review of agency administrative records and emergency preparedness records showed a facility-based and community-based risk…

The agency failed to ensure emergency preparedness disaster exercises and drills were completed every two years affecting current and future patients and all staff members.

The agency failed to ensure development of an individualized Plan of Care for one (Patient #7) of seven patients.

The agency failed to ensure the physician was notified of missed visits for two (Patient #1 and 4) of seven patients.

The agency failed to ensure POC orders included: 1) VS and/or pain parameters for three (Pt #1, 3 and 4 ) of seven patients; 2) frequency of PT visits for one (Pt #1) of seven patients.

The agency failed to ensure the ordered frequency was followed for two (Pt #5 and 6) of seven patients.

The agency failed to ensure staff notified the physician of changes in a patient condition which could necessitate a need to change the plan of care regarding: 1. Weight loss for one (Pt #2) of ten patients and 2. Weight gain for one (Pt #9) of three patients.

The agency failed to ensure skilled nursing services obtained daily/weekly weights in accordance with the plan of care for one (Pt #5) of ten patients.