Healthpro Homecare and Staffing

The agency failed to ensure skilled nursing services were provided as ordered on the physician ordered plan of care . This affected three (Patients #1, #2 and #3) of four medical records reviewed.

The agency failed to ensure skilled nursing services were provided as ordered by the physician as written in the plan of care for one of three medical records reviewed (Patient #3).

The agency did not obtain an order for physical therapy.

Staff interview and policy review the physician was not notified of changes to plan of care regarding missed visits and patient discharge.

The facility failed to ensure skilled nursing visits were performed as directed in the physician ordered plan of care and failed to notify the physician of missed visits.

The agency failed to ensure nursing staff followed the physician ordered treatment on the plan of care.

The agency failed to ensure services were administered only as ordered by a physician for one of three patient medical records reviewed (Patient #1).

The agency failed to ensure individualized emergency preparedness plans were completed as part of the comprehensive assessments for seven of seven medical records reviewed (Patient #1, #2, #3, #4, #5, #6, #7).

The facility failed to ensure staffing visit schedules were available upon request during home visits for three of three home visits conducted (Patient #1, #2, and #3).

The agency failed to ensure home health aide supervisory visits were completed every 14 days for two of three patients who received skilled care and home health aide services (Patient #2 and #7).

The agency failed to ensure home health aide supervisory visits by the registered nurse were completed while the home health aide was present performing a skill for one of one patient receiving home health aide services only (Patient #6). the sample size was seven patients.