Patient Care

The agency licensed personnel failed to follow agency expectations for medication documentation in the electronic clinical record.

The agency nurses failed to ensure the plan of care addressed the patient’s individual needs.

The agency failed to perform the necessary assessments in accordance with the agency’s expectation and policy.

The agency nurses failed to follow agency policies.

The agency nurses failed to ensure the plan of care addressed the patient’s individual needs.

The agency nurses failed to ensure the care delivered was in accordance with the physician's orders.

The agency nurses failed to communicate with the physician involved in the plan of care.

The Clinical Manager failed to ensure the development, implementation and updates of the individualized plan of care.

The agency licensed personnel failed to follow agency policies.

The Governing Body failed to develop policies and procedures for the management of the administration and pre-pouring of controlled substances to identify misuse or discrepancies by agency personnel.

The Clinical Manager failed to ensure an individualized plan of care to meet the patient’s needs.

The agency licensed personnel failed to follow agency policies and the agency failed to ensure accuracy and authenticity of the documentation.

The agency nurses failed to ensure the plan of care addressed the patient’s individual needs.

The agency nurses failed to provide the necessary assessments.

The agency Registered Nurses (RN) failed to ensure monthly supervision of the Licensed Practical Nurses (LPN) in accordance with the agency policy.

The Condition for 42 CFR 484.55 Comprehensive assessment of patients G 510 was not met when the facility failed to ensure comprehensive assessments were conducted as required.

The Condition 42 CFR 484.58 Care planning, coordination of services, and quality of care G 570 was not met when the facility failed to ensure the completion of the physician-certified plan of care no less frequently than every sixty days.

The facility failed to follow agency policies on missed visits, failed to ensure the care delivered was in accordance with the physician's orders and failed to communicate with physicians involved in the plan of care.

The Condition for 42 CFR 484.105 Organization and administration of services G 940 was not met.

The agency nurse failed to update the comprehensive assessments every sixty days.

The agency nurses failed to follow agency policies on missed visits.

The Governing Body failed to ensure the provision of all home health services and patient safety through updates of the comprehensive assessments and plans of care.

The Clinical Manager failed to ensure the coordination of care to meet the patient’s needs.

The agency nurses failed to ensure the clinical notes were incorporated into the electronic record within twenty-four hours of the visit.

The agency clinical manager failed to document a complaint and its resolution.

The agency nurse failed to follow agency policies for updating the comprehensive assessment within the last five days of the previous sixty-day certification period.

The agency nurse failed to revise the comprehensive assessment after a hospital admission.

The agency nurse failed to ensure the completion of the physician-certified plan of care no less frequently than every sixty days.

The agency nurses failed to ensure the care delivered was in accordance with the physician's orders.

The agency nurses failed to communicate with physician’s involved in the plan of care.

The Agency Administrator failed to ensure the provision of all home health services and patient safety through updates of the comprehensive assessments and plans of care.

The agency nurses failed to ensure the care delivered was in accordance with the physician's orders.

The agency failed to provide the necessary onsite supervisory visits.