Hcr / Hcr Home Care Chha (Oneonta)

The agency failed to ensure home health aides provide all services included in the plan of care (POC), are permitted to be performed under state law; and consistent with the home health aide training in one of one record reviewed of patients receiving paraprofessional aide services (Patient # 4).

The agency failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS), regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within thirty days of completing the assessment of the…

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in three of seventeen records (Patient # 1, 4 and 17).

The agency failed to ensure in one of three records reviewed (Patient # 11) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in eight out of seventeen records (Patient # 1, 2, 6, 8, 9, 11, 12 and 17).

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure services are provided in accordance with the physician's Plan of Care (POC) in three of seventeen patient records (Patient # 7, 9 and 14).

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in twelve of seventeen patient records reviewed (Patient # 1, 2, 3, 4, 5, 6, 10, 12, 13, 14, 15 and 17).

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in five of thirteen records (Patient # 6, 7, 9, 10 and 12).

The agency failed to ensure in one record of three records reviewed (Patient # 10) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

The agency failed to ensure in three of thirteen records (Patient # 10, 11 and 12) professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in eight of thirteen patient records (Patient # 4, 5, 6, 7, 8, 9, 10 and 13).

The agency failed to ensure verbal orders are put in writing and authenticated by the physician in two of thirteen records (Patient # 10 and 11).

Failure to notify the physician of changes that suggest the need to alter the POC and/or measurements outside of the established parameters has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure adequate supervision of the Licensed Practical Nurse (LPN) staff in one of thirteen records reviewed (Patient # 4).