Elara Caring

The agency failed to ensure each OASIS (Outcome and Assessment Information Set) was successfully transmitted to the CMS system within 30 days of completion.

The agency failed to ensure the OASIS data accurately reflected the patient's status at the time of assessment.

The home health agency failed to ensure the RN provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 2 (#9 and #12) of 4 (#1, #9, #12 and #13) patients reviewed for pressure ulcers.

The agency failed to ensure services ordered by the Physician were provided as indicated in the Plan of Care as evidenced by: 1. Home Health Aide (HHA) visits were not conducted as ordered for 1 (#11) of 4 (#5, #7, #8 and #11) patient records reviewed with orders for Home Health Aide services; and…

The agency failed to ensure a Physician was notified regarding a change in patient's status as evidenced by the agency failing to: 1. Ensure pain was communicated to the Physician for 1 (#10) of 13 (#1-#13) patients record reviewed; and 2. Ensure a low Potassium level was communicated to the…

The agency failed to ensure the patient's written individualized PoC (plan of care) was followed as evidenced by the SN (skilled nurse) failing to perform and record blood sugar readings as ordered per the PoC for 2 (#1 and #5) out of 7 (#1-7) sampled patients.

The agency failed to ensure entries were appropriately dated and timed, as evidenced by the nurse failing to complete documentation of skilled nurse visits on the Visit Note Reports within 48 hours of conducting the visit for one patient (#1) as per the agencies policy and protocol, out of a total…

The agency failed to ensure the individualized plan of care included a sliding scale chart for insulin dosage for 1 (#2) out of 7 sampled patients.

The agency failed to ensure the physician was promptly alerted of vital signs falling out of the established parameters for 2 (#1 and #4) patients out of a total sample of 7 (#1-7) patients.

The agency's staff failed to ensure communication with all physicians involved in the plan of care, by failing to ensure that the physician was made aware of the need for a glucometer and that progress notes/orders had been received from the physician, after patient appointments for 1 (#1) patient…

The home health agency failed to ensure care and services were provided in accordance with the written plan of care for 1 (#5) of 10 (#1 - #10) sample patients.

The agency failed to ensure the patient's comprehensive assessments included a review of all medications the patients were currently using.

The agency failed to ensure care was coordinated and delivered to meet the patient's needs for 1 (#4) of 10 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10) patients reviewed for therapy services.

The Registered Nurse failed to furnish those services requiring substantial and specialized nursing skill.