Feather River Hospital

The agency failed to follow physician's orders for two of 10 sampled patients (Patient 9 and 10).

The agency failed to report neglect when Patient 10 required a higher level of care, and the Assisted Living Facility (ALF) was not following the agency's recommended plan for repositioning to prevent skin break down.

The facility failed to notify the physician that pain relief measures were ineffective for one of 10 sampled patients (Patient 9).

Services were not provided to meet the needs for two of 10 sampled patients which had the potential to affect patient safety and treatment effectiveness (Patient 4 and 6).

The agency did not coordinate the delivery of care to meet the needs for one of 10 sampled patients (Patient 10) when Her nutritional status was not assessed per the agency's policy for wound care.

The agency failed to complete an on-site Certified Home Health Aide (CHHA) supervisory visit every 14 days for one of one sampled patients (Patient 8.) This practice had the potential for the patient to receive unsatisfactory or incorrect personal care services.