F C of Indiana Inc

The agency failed to follow their policy to ensure a registered nurse performed an initial assessment of patients to determine the patients' immediate care and support needs for 10 of 10 patients (Patients #1-10.) The findings included: 1. Review of a policy, "Patient Assessment and Reassessment,"…

The agency failed to ensure the comprehensive assessment was not performed prior to the establishment of a start of care for 10 of 10 patients (Patients #1-10).

The agency failed to ensure the plan of care documented the patient's penicillin allergy (Patient #5) for 1 of 10 patients, and failed to ensure the start of care date and certification period(s) were correct on the plan of care for 8 of 10 patients whose clinical record was reviewed (Patient…

The agency failed to follow their policy to ensure the attending physician authorized all services prior to furnishing care for 5 of 10 patients (Patients #1, 2, 3, 5, and 6.) The findings included: 1. Review of a policy, "Physician Orders," evidenced the policy stated, "Orders are obtained…

The agency failed to ensure the attending physician reviewed and established the plan of care at least each 60 days (Patient #1.) The findings included: 1. Review of the clinical record of patient #1, start of care of 1-15-18, evidenced plans of care for the certification periods of 1-15 to…