Community Health at Home LLC

The agency failed to ensure the comprehensive assessments were completed and accurately reflected the patients' health status for 3 of 5 active clinical records reviewed in which the patients had a line, drain, and/or tube (Patient #1, 8, and 9).

The agency failed to ensure the comprehensive assessments included the patient's rehabilitation potential and/or discharge plans for 11 of 12 active clinical records reviewed.

The agency failed to ensure the POC included all DME and seizure plan for 6 of 12 active clinical records reviewed.

The agency failed to provide services as ordered by the physician for 1 of 4 active clinical records reviewed with patients receiving wound care (Patient #8).

The agency failed to ensure they received hold orders for 1 of 1 active clinical records reviewed with a hospitalization during a certification period.

The agency failed to coordinate care with other entities providing services for 5 of 5 active clinical records reviewed with patients currently receiving outside services.

The agency failed to ensure the discharge and transfer summaries included the goals the patient met and had not met and the frequency of the services for 1 of 1 active clinical records (Patient #5) reviewed with a transfer summary completed and 5 of 5 inactive clinical records reviewed.

The agency failed to include a complete assessment of a Patient's status in 1 of 7 active records reviewed.

The agency failed to ensure all durable medical equipment (DME) was included on the plan of care (POC) for 4 of 7 (Patients #2, 7, 8, and 9) active patient records reviewed with home visits.

The Agency failed to notify the physician of changes in the patient's condition in 2 of 2 patient's records indicating a change in the patient's status.

The agency failed to ensure the plan of care was revised to include the diet restrictions for 1 of 7 active patient records reviewed with a home visit.