Elara Caring

The home health agency failed to ensure a patient was protected from injury when a nurse "fell on the patient" resulting in injury, and neglected to maintain constant supervision of a patient in accordance with the plan of care.

The agency failed to ensure that a comprehensive Registered Nurse (RN) assessment was conducted timely when the patient had a change in condition.

Review of Patient #1's clinical record of 09/20/2025 identified Licensed Practical Nurse (LPN)#1 worked from 08:00AM to 06:00PM and did not document in the record during his/her shift.

The agency failed to ensure nursing staff maintained constant supervision of the patient in accordance with the physician orders.

The agency nurses failed to follow agency policies.

The agency failed to ensure an accurate and legible record.

The agency nurses failed to notify the physician of an alteration in the care plan.

The agency Registered Nurse/RN failed to complete a written agreement for the coordination of services provided.

The agency’s licensed personnel failed to document the pre-pouring process in accordance with agency policies.

The agency nurses failed to follow physician's orders.

The agency nurses failed to notify the physician of an alteration in the plan of care.

CT #110487 Based on clinical record reviews, review of an agency policy and interview with agency personnel, for one of two patients (Patient #2) who received medication management, the agency’s licensed personnel failed to reconcile medications in accordance with agency policies.

CT #112554 Based on clinical record review, review of agency policies and interviews with agency personnel for one of five patients (Patient #1) in the survey sample, the agency failed to ensure an accurate and authentic record.

CT #110487 Based on clinical record review, review of agency policies and interview with agency personnel, for one of five patients (Patient #3) in the survey sample, the agency licensed personnel failed to follow the physician-certified plan of care.

CT #112554 Based on clinical record reviews and interviews with agency personnel, for one of three patients (Patient #1) receiving extended hours complex nursing services, and one of two patients (Patient #3) requiring medication management, the agency’s licensed personnel failed to communicate…

The Agency failed to include pertinent collateral information from referring agencies and patient providers, for the development of patient specific comprehensive assessments, for five (5) of seven (7) patients' that required daily medication management and nursing assessments, per the agency…

The Agency failed to develop comprehensive, individualized care plans for five (5) of seven (7) patients, deemed to have high risk behaviors, as it relates to a transition from a secured intuitional setting to an unsecured community residence.

The agency failed to review and revise the care plans for patients deemed to have high risk behaviors.

The agency failed to develop patient specific comprehensive assessments that included collateral information from referral sources and patient providers, in accordance with the agency's policy.

The agency failed to develop care plans with necessary interventions to address high risk behaviors and failed to implement relevant patient specific psychosocial statuses within the care plans.

The agency failed to ensure coordination of care delivery between the referring agency and the Home Health agency to meet the patient's needs.

The agency failed to notify the patient's health care provider of a change in mood/behavior, non-compliance with nursing visits and the need for a Social Work consult to ensure continuity of care and access to community resources, for a patient transitioning from a secured treatment facility to an…

The agency registered nurse/RN failed to provide specific instructions to the home health aide in the written plan of care.

The agency staff failed to ensure the plan of care addressed the patient's individualized needs.

The agency staff failed to communicate with the physician the need to revise the plan of care to address the patient's new needs.

The agency professionals failed to coordinate the patient's care with communication and interventions to prevent wound worsening and promote wound healing.

The agency professionals failed to provide the necessary assessments.

The agency professional staff failed to ensure education of the patient and family on preventive measures and pressure-relieving equipments and methods.

The agency Clinical Manager failed to promptly adjust the patient assignment in order to ensure timely and accurate assessments of the patient's wounds.