Nursing Specialties

The agency failed to ensure the patient's written individualized POC (Plan of Care) was followed as evidenced by the SN (Skilled Nurse) failing to notify the physician when Patient #7’s blood sugar reading was outside ordered parameters, and when the patient gained 5.2 pounds in 6 days for 1 (#7)…

The agency failed to ensure that the licensed professional followed the individualized plan of care as evidenced by the Occupational Therapist failed to conduct vital signs for 1 (#13) patient out of a total of 17 (#1-17) sampled patients.

The agency failed to ensure the staff followed standards of practice, including the uses of standard precautions to prevent the transmission of infections and communicable diseases as evidence by an observation made on 11/16/2021 during a home visit in which S3LPN failed to clean her reusable…

The agency failed to ensure Patient #13's physician was promptly alerted that an Occupational Therapy evaluation and treatment ordered by the physician on admission was not conducted timely for 1 (#13) out of 17 (#1-17) sampled patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the agency failing to have documentation that the SN (skill nurse) administered the B12 injection and there was no documentation of education with the patient's family on how to…

The agency failed to individualize the patient's POC (plan of care) to include the type of services needed by the patients with a diagnosis of heart failure as evidenced by no documentation found on the plan of care for the SN (skilled nurse) to monitor or obtain a weight during the skilled nurse…

The agency failed to ensure that an appropriate discharge was done for patient #2 as evidenced by the agency failing to provide documentation that measurable outcomes and goals set forth in the plan of care was achieved by the patient for 1 (#2) out 4 discharged patients (#1, #2, #3, #5) out of a…