Compassionate Home Care LLC

The agency failed to demonstrate the ability to measure, track and analyze quality indicators for the purpose of Quality Assurance and Performance Improvement (QAPI).

The agency failed to demonstrate the ability to track and analyze quality indicators with implementation of appropriate interventions for the purpose of Quality Assurance and Performance Improvement (QAPI).

The agency Governing Body failed to demonstrate responsiblity towards the development, implementation and maintenance of a Quality Assurance and Performance Improvement (QAPI) program.

Based of review of the clinical record, agency policy and interview with agency personnel for one of two patients (Patient # 7) who required medication administration and pre-pouring, the agency failed to develop comprehensive policies and procedures and/or the agency nurses failed to follow the…

The agency nurse failed to update the OASIS comprehensive assessment during the last five days of the recertification period.

The agency nurses failed to obtain physician's orders prior to administering, pre-pouring or discontinuing the patient's medications.

The agency nurse failed to obtain orders from a physician, instead of from a mid-level practitioner.

The agency failed to document the incidence, prevalence and severity of the problem area identified as the quality indicator for the purpose of Quality Assurance and Performance Improvement (QAPI).

The agency failed to demonstrate actions taken towards Performance Improvement of an identified Quality Indicator, for the purpose of Quality Assurance and Performance Improvement (QAPI).