Samaritan Home Health, Inc

The skilled nurse failed to perform a complete and/or accurate comprehensive assessment of the patient's needs.

The agency failed to adequately review records of patients with adverse events, analyze their causes and implement preventive actions.

For 1 of 2 records (patient #10) the skilled nurse failed to develop complete and accurate aide written instructions.

For 2 of 17 patients (Patients #2 and 11), the skilled nurse (SN) failed to perform complete and accurate medication reviews.

In 4 of 17 records (patients #1, 4, 5, and 14) the agency failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patients.

For 1 of 17 patients (patient #16) the agency failed to ensure there was communication with all involved physicians in the patient's plan of care.

In 4 of 17 patients (patients #1, 6, 14 and 16) the agency failed to coordinate care to meet the needs of the patients.

The comprehensive assessments were incomplete and/or inaccurate and failed to identify patient needs.

In 3 of 3 records, the skilled nurse (SN) failed to developed complete and accurate aide written instructions.

In 3 out of 17 records, (patients # 8, 9, and 14), the SN failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patient.

In 5 records, (Patients # 8, 9, 10, 13 and 16), the clinicians failed to effectively coordinate patient care.

In 4 out of 10 records, (patients # 3, 5, 6 and 10) that the initial comprehensive assessments were not of sufficient scope to ensure that all patient's needs are identified.

In 3 records (Patients # 1, 4 and 6 ) the clinicians failed to effectively coordinate patient care.