N.O.S. Healthcare Inc.

In 2 of 7 (Pts.# 3 and 6) clinical records reviewed, the Agency failed to ensure Staff provide care as ordered in the POC.

In 5 of 7 (Pts. # 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure documentation entered into the clinical record was complete.

In 3 of 7 (Pts. #1, 2 and 3) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Administrator.

In 5 of 7 (Pts. #3, 4, 5, 6 and 2) clinical records reviewed, the Agency failed to ensure the POC contained specific interventions related to Pt.'s diagnoses and medications.

In 6 of 7 (Pts. # 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure Pts. were assessed for the Influenza and / or Pneumonia vaccination status per Agency policy.

The Agency failed to ensure documentation of 100 percent COVID-19 vaccination for staff, initiate additional precautions for staff not vaccinated for COVID-19, develop and implement processes pertaining to staff COVID-19 vaccination status.

The Agency failed to ensure that the Agency conducted or participated in a full scale Community Based Exercise or Facility Based Exercise to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

The Agency failed to develop and implement processes pertaining to staff COVID-19 vaccination status.

The Agency failed to ensure documentation of 100 percent staff COVID-19 vaccination and initiate additional precautions for staff not vaccinated for COVID-19. This has the potential to affect all Pts. receiving care from the Agency.

Agency failed to ensure all documentation entries to the clinical record were complete.

The Agency failed to ensure Pts. were informed of the disciplines that will furnish care, and the frequency of visits provided by each discipline.

The Agency failed to ensure Pts are informed of the extent of their financial liability before care is initiated.

The Agency failed to ensure the Physician was sent a copy of the Discharge Summary.

The Agency failed to ensure the Registered Nurse conducted the initial assessment within 48 hours of the referral.

The Agency failed to ensure the PsOC contained patient specific interventions and treatments.

The Agency failed to ensure patients received services as ordered by the physician as indicated in the PsOC.

The clinical records were not complete as required by the Agency's policy.