Ro Health, LLC

The agency failed to develop and implement an effective discharge planning process when Skilled Nursing Visits for Patient 6 were permanently discontinued after four visits during the certification period.

The facility failed to ensure a discharge summary was completed and sent to the receiving health care practitioner, for one of two sampled residents (Patient 6) who were either transferred or discharged.

The agency failed to obtain consent for providing care and treatment at the time of the initial assessment, for three of seven sample selected patients (Patient 2, 3, and 7), when the agency provided services for Patient 2, 3, and 7 without Patients/Representatives consents upon admission.

The agency failed to obtain the providers order for the initial and ongoing services for five of seven sample selected patients (Patient 1, 2, 3, 5, and 7), when agency did the initial assessment on those patients without providers order and continue to provide services before the providers agreed…

The agency failed to assure communication with physicians or allowed practitioners when: 1. Patient 6's home care services were discontinued without communication with Patient 6's Primary Care Physician or allowed practitioner.

The home health agency did not limit services within their licensed geographical service area (GSA) for 6 of 10 sampled patients.