Preferred Healthcare Management LLC

The agency failed to ensure clinical records contained accurate and complete documentation of pertinent past and current findings in accordance with accepted professional standards for 2 of 5 active patient records reviewed (Patients #1 and #5).

The agency failed to develop, establish and maintain a comprehensive emergency preparedness program that meets all applicable Federal, State and local emergency preparedness requirements.

The agency failed to ensure skilled staff complied with standards of practice pertaining to the prevention of infectious and communicable diseases transmission during the provision of care for 1 of 4 patients observed during a home visit (Patient #5).

The governing body (Administrator/Owner/Chief Executive Officer) failed to demonstrate he had assumed full legal authority and responsibility for the agency operations and ensure compliance with the requirements for participation in the Medicare home health program.

The agency failed to ensure the supervising nurse (who is also the Director of Clinical Services) appropriately managed and participated in all activities relevant to the professional services furnished, including the development of patient Plans of Care, implementation of physician orders…

The agency failed to ensure clinical record entries contained legible, clear, complete and appropriately authenticated, dated, and timed records for 1 of 10 patient records reviewed (Patient #6).

The agency failed to ensure each patient's status was comprehensively reviewed the last five days of every 60-day period for 2 of 2 patients who received certified nurse aide (CNA) services only (Patients #4 and #7).

The agency failed to ensure each patient's Plan of Care covered all pertinent supplies, treatments and interventions for 1 of 10 patient records reviewed (Patient #1).

The agency failed to ensure drugs, services and treatments were administered as ordered by a physician in 5 of 10 patients reviewed (Patients #1, #4, #5, #8 and #9).

The agency failed to ensure clinical records contained accurate and complete documentation of services provided in accordance with accepted professional standards for 2 of 3 patients where the nurse prepared a medication planner (Patients #2, and #3).

The agency failed to ensure certified nurse aide (CNA) supervision occurred at least every two weeks for 1 of 5 patients receiving skilled care and CNA services (Patient #6).

The Administrator failed to organize and direct the agency's day to day operations.

The agency failed to ensure the clinical records contained accurate documentation of patient's clinical notes, plans of care, and physician orders for 1 of 10 patient records reviewed (Patient #1).