Guardian Home Care of Central Georgia

The agency failed to complete an updated comprehensive assessment for one patient due to a major decline in the patient's health for 1 of 17 (#13) sampled patients requiring an updated assessment.

The agency failed to ensure the patients' individualized plans of care/treatment included all of the required elements to address the identified needs for 10 of 17 sampled patients (#2, #3, #5, #6, #7, #12, #13, #14, #16 and #17 ).

The agency staff failed to ensure treatments were administered only as ordered by the physician for 4 of 17 ( #3, #11, #12, and #14) sampled patients.

The agency's skilled professional staff failed to provide services as ordered by the physician in the plans of care/treatment for 4 of 17 (#4, #6, #8 and #15) sampled patients.

The agency's skilled professional staff failed to ensure that the clinical notes/documentation was patient specific and accurate to the patient's current status for 1 of 17 (#15) sampled patients.

The personnel who furnished services, failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for 2 of 17 ( #13 and #15) sampled patients.

The agency failed to ensure the patients' clinical record contained complete, clear, and accurate documentation of all services including: evaluations, treatments, and clinical notes to address the patients' needs for 7 of 17 (#4, #5, #6, #11, #12, #13 and #14) sampled patients.