Prestige Home Care Agency

The administrator/clinical manager failed to ensure specialized training for use of Home Hemodialysis machine was completed prior to the assignment of LPN (PF#1) to provide skilled nursing (SN) care to or oversight of patient (CR#3) receiving Home Hemodialysis treatment during LPN assigned hours…

The agency failed to obtain a physician's signature on the Home Health Certification and Plan of Care (POC) in accordance with agency policy for three (3) of three (3) CR reviewed.

The administrator/clinical manager failed to ensure documentation of specialized training for use of Home Hemodialysis machine was in personnel file prior to the assignment of LPN (PF#1) to provide skilled nursing (SN) care to or oversight of patient (CR#3) receiving Home Hemodialysis treatment…

The administrator/clinical manager failed to recognize the patient's needs were not being met by LPN without dialysis training documentation for one (1) of three (3) clinical records reviewed (CR#3) and one (1) of ten (10) personnel files reviewed (PF #1).

The clinical manager failed to the assure the plan of care accurately reflected the care provided by LPN (PF#1) for one (1) of three (3) clinical records reviewed (CR#3) and one (1) of ten (10) personnel files reviewed (PF #1).

The agency failed to follow its policy to ensure that a verbal order was signed by the primary Physician within seven (7) days for (1) one of one (1) clinical records reviewed.

The agency failed to ensure that changes to the client's condition had been reported to the Registered Nurse according to current clinical practice guidelines, for one (1) of one (1) patients.