Mission Home Health of San Diego LLC

The agency failed to complete visits as ordered by the physician for three of 17 sampled patients (3, 6, 11).

The agency failed to start patient care within 48 hours of the referral for six of 17 sampled patients (6, 7, 8, 9, 10, 11).

The agency failed to ensure a nursing supervisory visit was conducted for one of 17 sampled patients (3).

The agency failed to complete a discharge summary for one of 17 sampled patients (17) upon transfer to another agency.

The agency failed to ensure a discharge summary (clinical report prepared by a health professional at discharge which includes services provided, current status, and reasons for the patient's discharge) was developed and provided for 2 of 2 sampled patients (1, 2).

The agency failed to ensure an initial comprehensive assessment included wound measurements for 1 of 17 sampled patients (9).

The agency failed to follow the physician orders when visits were not completed per the Plan of Care (POC) for 5 of 17 sampled patients (1,2,3,9,16).

The agency failed to ensure a physician's order was implemented during wound treatment for 1 of 17 sampled patients (2).

The agency failed to ensure there was communication between visiting skilled nurses and the case manager when Patient 16 was not seen for four weeks.

The agency failed to ensure nursing documented that education was provided to the caregiver related to the administration of IV (intravenous-directly into a vein) medication for 1 of 17 sampled patients (13).