Ekidzcare

The agency failed to ensure clinical staff followed frequency of hours as ordered on the plan of care for one (1) of seven (7) CRs reviews.

The agency failed to ensure skilled nurse followed physician orders including but not limited to monitoring for shunt malfunction signs and symptoms and ensuring the patient received the correct total volume amount of feeds for one (1) of one (1) clinical records (CRs) reviewed.

The agency failed to ensure home health care agency personnel promptly alerted relevant physician of changes for one (1) of one (1) CR reviewed.

The agency failed to ensure clinical notes were written and incorporated into the clinical record (1) of one (1) clinical records (CRs) reviewed.

The agency failed to ensure registered nurse followed duties and responsibilities for one (1) of (1) CR reviewed.

The agency failed to complete an annual Hazard vulnerability analysis per agency policy for one (1) of one (1) Hazard Vulnerability Analysis (HVA) forms reviewed.

Agency failed to ensure Plan of Care, physician orders and communication policies were followed for one (1) of three (3) home visits conducted and two (2) of seven (7) CRs reviewed.

Agency failed to show evidence of a qualified administrator for one (1) of one (1) offices viewed.

Licensed Practical Nurses (LPN) failed to follow physician orders for five (5) of eight (8) MR reviewed.

Agency failed to show evidence of complete plan of treatment for seven (7) of eight (8) MR reviewed.

Agency failed to show evidence of complete plan of treatment for seven (7) out of eight (8) MR reviewed.

Agency failed to show evidence of coordination of care with all personnel providing services for five (5) of eight (8) MR reviewed.

Agency failed to show evidence of home health aide competency for one (1) of eight (8) PF reviewed ( PF # 2); annual performance evaluations for two (2) PF reviewed ( PF # 4,PF # 5).