Lifeline Home Health Care, Inc

The agency failed to notify the physician of changes in health conditions for three (Patients #1, 8 and #12) of 13 patients.

The agency failed to ensure: SN to conduct weight assessment and monitoring with physician reporting parameters for four (Patients #5, 8, 9 and 12) of 13 patients and; SN to conduct pain assessment and monitoring with physician reporting parameters for one (Patient #9) of 13 patients.

The agency failed to ensure documentation of SN and MSW visit notes for one (Patient #13) of 13 patients.

The agency failed to ensure: 1. the physician was notified of weights outside of ordered parameters for two (Patient #11 and 12) of 17 patients and 2. skilled nurse services were provided as ordered for one (Patient #11) of seven patients.

The agency failed to ensure a discharge oasis assessment was completed for one (Patient #2) of 17 patients.

The agency failed to ensure an individualized plan of care included accurate weight parameters for three (Patients # 15, 16, and 17) of 17 patients.

The agency failed to ensure physician notification of significant weight loss outside of ordered parameters for one (Patient #11) of 17 patients.

The agency failed to ensure an updated assessment was completed after a decline in patient health was noted for one (Pt #7) of 15 patients.

The agency failed to ensure physical therapy was provided as ordered for one (Pt #8) of 15 patients.

The agency failed to ensure communication/coordination with the physician on a missed visit for one (Pt #4) of fifteen patients.

The agency failed to ensure physician notification of vital signs and blood glucose levels out of parameters for three (Pt #2, 4 and 11) of 15 patients.