Elara Caring

The Skilled Nurse (SN) failed to include all medications during the review of the patients medications in 4 (#2, #4, #5, and #6) of 7 (#1 - #7) Clinical Records reviewed.

The Skilled Nurse (SN) staff did not accurately document care provided including all interventions in 1 (#3) of 7 (#1 - #7) Clinical Records reviewed.

The Agency failed to ensure written information specific to the patients Plan of Care (POC) was provided to patients or caregivers in 3 (#1 -#3) of 3 (#1 - #3) (100%) home visits conducted.

The Speech Therapist (ST) failed to conduct an Initial Evaluation within 5 days of the Start of Care (SOC) as part of the Comprehensive Assessment in 1 (#5) of 2 (#2 and #5) Clinical Records reviewed with orders for ST services.

The Registered Nurse (RN) failed to follow infection control policies for 1 (#2) of 1 (#2) home visits to obtain a lab specimen, in that RN failed to perform hand hygiene after removal of disposable gloves and entered the clean side of the nursing bag without performing hand hygiene.

The Occupational Therapy (OT) staff failed to ensure documentation of care coordination and communication between the healthcare team members in 1 (#1) of 7 (#1 - #7) Clinical Records reviewed.