Renaissance Home Healthcare Services

The agency failed to ensure safety precautions were included on the plan of care for 1 (P-5) of 7 records reviewed, and failed to ensure the plan of care included parameters to notify the physician for 4 (P-2, 3, 6, 7) of 7 records reviewed, resulting in the potential for poor patient outcomes and…

The agency failed to ensure the clinical record was complete and included accurate physical therapy notes for 1 (P-6) of 7 records reviewed, resulting in the potential for the lack of continuity of care.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 7 (P-1, 2, 3, 4, 5, 6, 7) of 7 discharge records reviewed, resulting in a lack of information to ensure continuity of care.

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required in 7 of 7 sampled records reviewed (MR's #1, 2, 3, 4, 5, 6 and 7), resulting in the potential for…

The Agency failed to provide care and services in accordance with the plan of care in 5 (MR's # 1, 2, 3, 4 and 6) of 7 records reviewed for provision of services, from a total of 7 records reviewed, resulting in the potential for decline in physical functioning and unmet care needs.

The Agency failed to ensure a discharge summary was complete, that provided the patient's current health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 7 (MR# 1, 2, 3, 4, 5, 6 and 7), of 7 closed records reviewed, resulting in…