Family Care Solutions LLC

The agency failed to update the Plan of Care with all new physician orders for 2 of 2 sampled patients with interim orders.

The agency failed to ensure the clinical record included the patient's admission consent forms and/or annual service agreement forms for 7 of 7 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #7).

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 3 of 5 sampled patients receiving home health aide services (Patients #4, #5, and #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including the supplies and equipment required and the frequency and duration of visits to be made used by the patient for 4 of 7 sampled patients (Patients #1, #2, #3 and #6).

The agency failed to update the Plan of Care with all new physician orders for 1 of 7 sampled patients with interim orders.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 4 of 5 sampled patients receiving home health aide services…

The agency failed to ensure 3 of 4 sampled home health aides (Staff G, H, N and R), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 2 sampled patients (Patient #4 and #8) had documented evidence of competency by a registered nurse in the assigned…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/ equipment used by the patient and accurate medication orders for 4 of 8 sampled patients (Patients #1, #2, #3, and #7).

The agency failed to update the Plan of Care with all new physician orders for 7 of 7 sampled patients with interim/verbal orders.

The agency failed to ensure a registered nurse (RN) or other appropriate health care professional completed home health aide supervision at least every 14 days for 1 of 2 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patient #8).

The agency failed to ensure a registered nurse (RN) completed home health aide supervision at least every 60 days while observing each home health aide who provided direct patient care to 2 of 2 sampled patients who received hands on personal care services with no skilled service provision.