Mobile Nursing Services

The agency: 1) failed to ensure the Plan of Care accurately reflected care, treatment and services provided to the patient (G0574); 2) failed to ensure agency staff included all physician orders, including verbal orders in the Plan of Care (G0576); 3) failed to ensure agency staff provided…

The agency failed to do the following: 1) ensure agency nursing staff wrote verbal orders, sent verbal orders for signature by the physician providing the order and included other orders given into the clinical record (G1012); and, 2) ensure entries in the clinical record related to interventions…

The agency failed to ensure the investigation of a complaint made by an agency patient or the representative of the patient for 1 of 3 sampled patients (Patient #2) with an interview.

The agency failed to ensure the documentation of a complaint and the resolution of a complaint made by an agency patient or the representative of the patient for 1 of 3 sampled patients (Patient #2) with an interview.

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 4 of 4 sampled patients (Patients #1, #2, #3 and #4).

The agency failed to update the Plan of Care with all new physician orders for 3 of 4 sampled patients with interim physician orders (Patients #1, #3 and #4).

The agency failed to administer medications and treatments only as ordered by the physician for 4 of 4 sampled patients (Patients #1, #2, #3 and #4).

The agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition or that the plan of care should be altered, for 3 of 4 sampled patients (Patients #1, #2 and #4).

The agency failed to coordinate care provided by all physicians and integrate orders from the non-primary physician to the primary physician for 2 of 2 (Patients #1 and #3) sampled patients receiving wound care with more than one physician involved in the patient's care.

The agency failed to ensure agency staff coordinated the delivery of care in a way to meet patient individualized needs for 1 of 3 sampled patients (Patient #2) receiving wound care.

The agency failed to ensure the clinical record included the patient's physician orders for 4 of 4 sampled patients (Patients #1, #2, #3 and #4).

The agency failed to ensure the patient's clinical record included current and complete documentation of interventions in the patient record for 4 of 4 sampled patients (Patients #1, #2, #3 and #4).