Premier Healthcare Services, Inc

The registered nurse failed to ensure that the comprehensive assessment accurately reflected the patient’s status in one (1) of ten (10) clinical records (Patient # 8).

The agency’s registered nurse failed update and revise comprehensive assessments in two (2) of ten (10) clinical records (Patients #5 and 10).

The agency’s registered nurse failed ensure that the Plan of Care was reviewed and revised in one (1) of ten (10) clinical records (Patient #8).

The registered nurse failed to ensure that the comprehensive assessment included the patient's current health, psychosocial, functional, and cognitive status in one (1) of ten (10) clinical records (Patient #8).

The agency's staff failed revise of the plan of care to reflect all verbal order received during the certification period, so that all Home Health Agency staff are working from a current plan in one (1) of ten (10) clinical records (Patient #1).

The agency failed to ensure that verbal physician's orders were accepted only by personnel authorized to do so in accordance with applicable state laws and regulations in two (2) of ten (10) clinical records (Patients #3 and 6).

The agency's clinician failed to document a complete discharge summary that included the required items in one (1) of one (1) closed clinical record for a patient discharged from the agency (Patient #3).

The Home Health Agency failed to ensure the coordination of care delivery to meet the patient's needs for one of ten patients (Patient #1).