Colorado Health Connections Inc

The agency failed to ensure services and treatments were provided in conformance with physician orders for 8 of 13 patient records reviewed (Patients #2, #5, #6, #7, #9, #10, #12 and #13).

The agency failed to ensure a registered nurse (RN) or physical therapist (PT) completed an initial assessment within 48 hours of referral, within 48 hours of the patient's return home, or by the physician ordered start of care (SOC) in 2 of 9 active patient records reviewed (Patients #6 and #8).

The agency failed to ensure each patient's status was comprehensively assessed the last five days of every 60-day period for 1 of 2 patients reviewed who was on service more than 60 days (Patient #10).

The agency failed to ensure services and treatments were provided in conformance with physician orders for 1 of 1 patients whose record was reviewed and who had orders to monitor the International Normalized Ratio levels (INR; a blood test to determine the efficacy of Coumadin, an anticoagulant…

The agency failed to ensure nursing staff promptly alerted the physician of symptoms and changes in the patient's condition that suggested a need to alter the plan of care for 1 of 3 patients whose record was reviewed and who had a wound (Patient #2).

The agency failed to ensure care was provided according to each patient's individualized written plan of care and were in conformance with physician orders for 2 of 3 patient records reviewed (Patients #1 and #3).

The agency failed to ensure all complaints made by the patient's representative were documented in the agency's complaint log and failed to demonstrate the investigation and resolution of the complaints.