Interim Healthcare of SE Indiana Inc

The agency failed to promptly alert relevant physicians and revise the POC in response to a change in patient condition for 1 of 3 closed records reviewed (Patient #8).

The agency failed to coordinate care and communicate changes in patient condition with all physicians involved in the POC for 1 of 3 closed records reviewed (Patient #8).

The agency failed to ensure the clinical record contained complete and accurate clinical notes for 1 of 3 closed records reviewed (Patient #8).

The agency failed to document efforts to resolve problems in 4 of 5 records reviewed.

The agency failed to provide all services ordered in the plan of care for 4 of 5 records reviewed.

The agency failed to establish and maintain an emergency preparedness plan that addressed emerging infectious disease in its risk assessment and an emergency plan for each of the agency's 3 locations (parent and two branch offices).

The agency failed to evidence documentation of the annual review and update of their emergency plan for each of the agency's 3 locations (parent and two branch offices).

The agency failed to accurately reflect the skilled nurse frequency of care for 1 (Patient #2) of 11 total clinical records reviewed.

The agency failed to ensure all medical equipment, supplies, and services were incorporated into the plan of care (POC) for 2 (Patients #3 & #5) of 11 clinical records reviewed.