People Home Health Svs Chha

The agency failed to ensure the assessments were of sufficient scope to identify current patient needs.

The agency failed to ensure that a comprehensive assessment consistent with the patient's needs was performed within five (5) calendar days after the start of care.

The agency failed to ensure the physician is notified of changes in the patient's condition or needs that suggest the plan of care may need to be altered.

The agency failed to ensure Outcome and Assessment Information Set data accurately reflects the patient's status at the time of the initial and discharge assessment.

The agency failed to ensure the initial comprehensive assessment was of sufficient scope to identify patient needs.

The clinical record lacked documented evidence of a complete review of all medications the patient currently uses to identify any potential adverse effects, drug reactions, or concerns.

4) the agency failed to develop individualized plans of care that are complete and accurate and address the total needs of the patients.

The agency failed to ensure drugs, services, and treatments are administered in accordance with the orders of a physician or allowed practitioner that establishes and periodically reviews the plan of care.

The agency failed to ensure the Plan of Care is reviewed and revised to reflect the patient's current status.

The agency failed to ensure there is ongoing interdisciplinary assessments and communication for patients receiving nursing and rehabilitation services.

The agency failed to document and complete and accurate clinical notes.

The agency failed to follow current clinical practice guidelines and accepted professional standards when providing services.

The agency failed to ensure the OASIS data accurately reflected the patient's diagnosis and status at the time of discharge assessment.

The agency failed to provide services in accordance with physician orders and the Plan of Care (POC).

The Registered Nurse (RN) failed to ensure the Plan of Care (POC) was updated and revised to reflect the patient's current status.

The agency failed to ensure a comprehensive assessment of the patient's status was completed at the Start of Care (SOC).

Agency staff failed to ensure Plans of Care (POC) are of sufficient scope to address all the patient's needs.

Agency staff failed to promptly alert the physician to any changes in the patient's condition that suggests the need to alter the plan of care (POC).

The agency failed to ensure clinicians prepare and document complete and accurate clinical and progress notes.

For one (1) of seven (7) patients (Patient #6) the agency failed to follow agency policy and procedure, current clinical practice guidelines and accepted professional standards when providing services.