Family Care Visiting Nurse & Home Care Agency, LLC

The agency failed to provide the home health aide services and/or failed to ensure complete documentation in the patient's clinical record.

The agency licensed personnel failed to follow agency policies for medication reconciliation and pre-pouring.

The agency failed to ensure accuracy and authenticity of the agency documentation.

The agency nurses failed to ensure the plan of care addressed the patient’s individual needs and/or failed to follow physician’s orders.

The agency failed to ensure completion of a comprehensive Memorandum of Understanding/MOU to delineate the nursing responsibilities between the agencies.

The agency nurses failed to perform the necessary nursing assessments.

The agency licensed personnel failed to communicate medication discrepancies with the physician prior to medication pre-pouring.

The agency failed to follow a physician’s orders to ensure a patient’s needs were met.

The Home Health Agency clinicians failed to practice according to the Home Health Agency's expectation and policy and procedure.

The home health agency failed to communicate a change in a Patient’s plan of care and termination of services to the physician.

The agency Registered Nurse staff (RN) failed to ensure bi-monthly conferences with the Licensed Practical Nurses (LPN) in accordance with the agency policy.

The home health agency failed to coordinate the delivery of care to ensure the patient's needs were met.

The agency failed to ensure the availability of the medication for pre-pouring each week, when the nurse ordered the medication refill through an automated message service, failed to follow-up with the pharmacy while the patient was without anti-psychotic, failed to notify the agency supervisor or…

For one of one patient (Patient # 1) who did not receive the needed medication, the agency failed to record the adverse event with appropriate root cause analysis and development of interventions to prevent recurrence, after the nurse ordered the medication refill through an automated message…

The agency nurses failed to follow the agency policies and procedures, and/or the agency failed to develop policies and procedures to ensure the safe delivery of nursing services.

The agency Administrator failed to ensure the patient received services as ordered in the plan of care, failed to ensure the nurses followed the agency policies and/or received education and training on the risks and precautions associated with the atypical antipsychotic, failed to ensure the…

For one of one patient (Patient # 1) who did not receive a needed specific medication, the agency nurse failed to provide timely, accurate and authentic documentation of the efforts made to obtain the medication, and documentation of assessments for symptoms of withdrawal.

For one of one patient (Patient # 1) who did not receive the needed medication, the agency failed to record the adverse event with appropriate root cause analysis and development of interventions to prevent recurrence.

The agency nurses failed to follow the agency policies, and/or the agency failed to develop policies and procedures to ensure the safe delivery of nursing services.

The agency failed to ensure the availability of the medication for pre-pouring each week.

For one of one patient (Patient # 1) who did not receive a specific medication as ordered, the agency nurse failed to re-assess the patient for symptoms of withdrawal after the nurse left the patient for eleven days without the anti-psychotic treatment.

The agency failed to ensure the availability of the medication for pre-pouring each week.

The agency Administrator failed to ensure the patient received services as ordered in the plan of care, failed to ensure the nurses followed the agency policies and/or received education and training on the risks and precautions associated with the atypical antipsychotic, failed to ensure the…

For one of one patient (Patient # 1) who did not receive a needed specific treatment of atypical antipsychotic, the agency nurse failed to provide timely, accurate and authentic documentation of the efforts made to obtain the medication, and documentation of assessments for symptoms of withdrawal.

The agency failed to ensure the plan of care addressed the patient's needs for an increased frequency in nursing services for assessments and management of the patient's skin integrity.

The agency nurses failed to provide the necessary assessments.

The agency failed to document the existence of a complaint, and failed to investigate the complaint.

The agency failed to ensure the plan of care addressed the patient's needs for an increased frequency in nursing services for assessments and management of the patient's skin integrity.

The agency failed to provide education and training to the next-of-kin prior to delegating the patient's daily wound care to the next-of-kin.

The agency nurses failed to provide the necessary assessments.

The agency failed to ensure proper supervision of the nursing services provided.