Complete Home Health Care LLC

The agency failed to ensure each patient received home health services in accordance with a written plan of care established and periodically reviewed by a physician for 3 of 17 patient records reviewed (Patients #3, #5, and #16).

The agency failed to ensure services and treatments were provided in conformance with physician's orders for 10 of 17 patient records reviewed (Patients #1, #4, #5, #6, #7, #8, #9, #13, #14, and #17) Findings include: 1. The clinical record for Patient #8 was reviewed on 9/25/19. The Plan of Care…

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professionals prepared and updated patient-specific written care instructions for the home health aide (HHA)/certified nurse aide (CNA) for 1 of 1 patient record reviewed where the patient was receiving CNA services…

The agency failed to ensure the skilled professionals provided services ordered by the physician as indicated in the Plan of Care for 3 of 10 active patient records reviewed receiving skilled nurse services (Patients #5, #9 and #12 ).

The agency failed to ensure certified nurse aides (CNAs) provided services as ordered by the physician and on the plan of care for 2 of 5 patients who required CNA services (Patient #2 and #7).

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 6 of 17 patient records reviewed (Patients #2, #4, #6, #7, #10, and #14).

The agency failed to ensure a completed transfer summary was provided within two business days to the physician responsible for the care of the patient in 2 of 2 active patients reviewed requiring a transfer of care summary (Patients #2 and #4).

The agency failed to report findings of alleged misappropriation of patient property (drug diversion) to the appropriate authorities in accordance with requirements.