N Your Home Health Care

The agency failed to ensure the visit frequency was followed per the plan of care (POC) for 1 of 2 sampled patients (1).

The agency failed to ensure the Outcome and Assessment Information Set (OASIS) was coded accurately to reflect the correct diagnosis for 1 of 5 sampled patients (1).

The agency failed to develop a written individualized plan of care for 2 of 5 sampled patients (2, 3).

The agency failed to ensure a physician's order was documented on the CMS 485 (a form provided by the Centers for Medicare and Medicaid Services - CMS - which documents patients Plan of Care and physician's order) for 2 of 5 sampled patients (2, 3).

The agency failed to ensure a comprehensive assessment was completed in a timely manner, consistent with the patient's immediate needs, within five calendar days after the start date for 1 of 5 sampled patients (2).

The agency failed to ensure physician orders were created and signed within 30 working days for 2 of 5 sampled patients (1, 2).

The agency failed to ensure the Licensed Vocational Nurse (LVN) was supervised by the Registered Nurse (RN) at least monthly, per the agency's policy and procedure for 5 of 5 sampled patients (1,2,3,4,5).

The agency failed to ensure a Registered Nurse (RN) completed the Certified Home Health Aide (CHHA) supervisory visits every 14 day for 1 of 5 sampled patients (5).