Elite Home Health

The Skilled Nurse (SN) failed to ensure the patients Plan of Care (POC) included the required elements of all medication and treatments in 2 (#14 and #18) of 18 (#1 - #18) Clinical Records reviewed.

The Agency staff did not provide care in accordance with the written Plan of Care (POC) in 3 (#11, #13 and #18) of 18 (#1 - #18) Clinical Records reviewed.

The Agency staff did not follow the Attending Physician orders contained in the Plan of Care (POC) for 5 (#1, #2, #9, #10, and #16) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to provide written information to the patients and/or caregivers regarding staff visit schedules, treatments or instructions specific to the patients care in 6 (#1, #2, #3, #5, #6, and #7) of 7 (#1 - #7) home visits completed.

The Skilled Nurse (SN) failed to demonstrate appropriate infection control standards of practice and follow Agency policy while performing Patients care for 4 (#1, #3, #5, and #6) of 7 (#1 - #7) home visits. . Review of patient #1 revealed the following: A.

The Skilled Nurse (SN) failed to include all medications during the review of the patients medications in 1 (#1) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to ensure the established individualized Plan of Care (POC) was followed regarding frequency of Skilled Nurse (SN) visits and assessment and interventions as ordered by the Physician in 4 (#1, #6, #8, and #15 ) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to ensure there was an effective process to provide and update the written information specific to the patients Plan of Care (POC) to patients or caregivers in 7 (#11 - #17) of 7 (#11 - #17) (100%) home visits conducted.

The Registered Nurse (RN) failed to ensure written instructions for the Aide services regarding the patients personal care activities were specific and individualized in 2 (#2 and #9) of 3 (#2, #9, and #17) Clinical Records reviewed with Aide services ordered.

The Agency failed to ensure all disciplines as ordered by the Physician conducted an Initial Evaluation within 5 days of the Start of Care (SOC) as part of the Comprehensive Assessment in 1 (#4) of 7 (#1, #2, #4, #11, #12, #14, and #17) Clinical Records reviewed.

The Agency failed to coordinate care to assure identification of patient needs, communication of assessment findings and scheduling of follow-up assessments in 3 (#2, #4, and #11) of 17 (#1 - #17) Clinical Records reviewed.

The Registered Nurse (RN) failed to provide timely oversight of the Aide through on-site Supervisory Aide Visits (SAV) every 14 days in 1 (#17) of 3 (#2, #9, and #17) Clinical Records reviewed with orders for Aide services.

Administrative document review and interview with Agency Personnel #1 (Agency Administrator) the Agency failed to coordinate referrals in a timely manner to ensure patients needs and Plan of Care are meet in 1 (#6) of 1 (#6) patients with orders for a Wound Care Ostomy Nurse (WOCN) consult (an RN…

The Agency failed to have a Clinical Record which contained accurate documentation in 2 (#6 and #10) of 17 (#1 - #17) Clinical Records reviewed.