Hackensack Meridian at Home Monmouth County

The facility failed to ensure 1) all patients receive skilled services according to physician orders (G0572); and 2) that patients receive the prescribed visits for all disciplines involved, to meet the patient's needs (G0608).

The facility failed to ensure all patients receive skilled services according to the established plan of care and physician orders.

The facility failed to coordinate delivery of care to ensure that patients receive the prescribed visits for all disciplines involved, to meet the patient's needs.

The facility failed to follow the facility policy to prevent the transmission of infections and communicable diseases, in four of seven home visit patients (Patient (P)1, P3, P4, and P6).

The facility failed to follow facility policy to conduct initial assessments with 48 hours of referral, or within 48 hours of the patient’s return home, or on the physician-ordered start of care date in three of five medical records reviewed (Patient (P)6, 11, and 14).

The facility failed to ensure communication with the physician is documented when a delay in services, due to staffing, occurrs, in one of five medical records reviewed (Patient (P)2).

The facility failed to ensure a written agreement is in place for social work services provided by a separately certified Home Health Agency (HHA).

The facility failed to ensure that all staff adhere to the use of standard precautions with acceptable standards of practice to prevent the transmission of infections and communicable diseases.

The facility failed to communicate with the physician involved in the plan of care.

The facility failed to provide services indicated in the plan of care.