McLaren Home Health

The Agency failed to ensure Skilled Nursing (SN) adequately assessed and monitored the needs of the patient in 1 (MR# 14) of 5 patients diagnosed with heart failure from a total sample of 15 records.

The agency failed to provide skilled nursing and home health aide services as ordered in the plan of care for 4 of 17 (MR#s 4, 9, 11 and 17) records reviewed in which aide services were ordered.

The agency failed to provide dietician services as ordered by the physician for 1 of 17 records reviewed (MR #9), resulting in the potential for physical decline and poor outcomes for patient's needing dietician services.

The agency failed to ensure the registered nurse included safety measures and written wound dressing instructions in the patient care instructions for the home health aide in 4 of 8 (MR#s 4, 8, 9, and 17) records reviewed in which the patient received home health aide services.

The agency failed to ensure the registered nurse (RN) conducted the initial assessment visit within 48 hours of referral to determine the immediate care and support needs of the patent including homebound status and eligibility for the Medicare home health benefit for 2 of 17 records reviewed (MR#s…

The agency failed to ensure the plan of care (POC) was patient specific and individualized to the patient's identified needs, covered all pertinent interventions, included reportable parameters, included objectively measurable goals to determine the patient's progress towards goals, and was…

The agency failed to ensure an on-site supervisory visits to the patient's home at least every 14 days to supervise the services that were provided by the home health aide for 1 of 8 records reviewed (MR# 9) in which aide services had been provided, from a total sample of 17 records reviewed…