Marquis Certified Home Care, LLC

The agency failed to ensure services are provided in accordance with the physician's Plan of Care (POC) in one of seventeen patient records reviewed.

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

Failure to update and maintain an accurate medication review has the potential to result in the patient experiencing adverse medication effects, drug reactions and/or interactions and the inaccurate administration of physician ordered medications.

The agency failed to ensure a complete physician's Plan of Care (POC) was developed to meet the individualized needs of the patient in nine of seventeen patient records (Patient # 5, 6, 7, 8, 11, 12, 13, 15 and 16).

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.

The agency failed to ensure services are provided in accordance with the physician's Plan of Care (POC) in two of six patient records reviewed.

The agency failed to ensure in one of six records (Patient # 4), that 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 physician's Plan of Care (POC) was developed to meet the individualized needs of the patient in six of six patient records (Patient # 1, 2, 3,4, 5, and 6).

Failure to consult with the physician when the POC has been altered has the potential for unmet patient needs and/or negative patient outcomes.

The agency failed to ensure a physician's plan of care (POC) reflects and/or is based on current information from the patient's updated comprehensive assessment in one of six records reviewed (Patient #4).

The agency failed to ensure a complete physician's Plan of Care (POC) was developed to meet the individualized needs of the patient in three of three patient records (Patient # 1, 2 and 3).

The agency failed to ensure in three of three records of patients discharged (Patient # 1, 2 and 3) that a comprehensive discharge summary was prepared.

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in one of four records (Patient # 4).

The agency failed to ensure in one of four records (Patient # 3), that professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

Failure to update and maintain an accurate medication review has the potential to result in the patient experiencing adverse medication effects, drug reactions and/or interactions and the inaccurate administration of physician ordered medications.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in four of four records (Patient # 1, 2, 3 and 4).

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.

The agency failed to ensure adequate supervision of the Licensed Practical Nurse (LPN) staff in one of four records reviewed (Patient # 3).

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in four out of eighteen patient records (Patient # 5, 9, 10, and 16).

The agency failed to ensure in two of eighteen records (Patient # 4 and 9), that professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

Failure to update and maintain an accurate medication review has the potential to result in the patient experiencing adverse medication effects, drug reactions and/or interactions and the inaccurate administration of physician ordered medications.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in eighteen of eighteen patient records (Patient # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 and 18).

Failure to notify the physician of changes that alter or suggest the need to alter the POC 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 four of eighteen records reviewed (Patient # 4, 6, 7, and 9).