Sibling's Home Health Care Services LLC

The agency failed to ensure skilled nursing care was provided as ordered for two of two skilled medical records reviewed (Patient #1 and #2).

The agency failed to ensure a comprehensive assessment was completed at the end of the 60 day certification period for one of four medical records reviewed (Patient #1).

The agency failed to ensure plans of care contained all required elements and were customized to each individual patient for one of four medical records reviewed (Patient #1).

The agency failed to ensure a plan of care was completed at the end of the 60 day certification period for one of four medical records reviewed (Patient #1).

The agency failed to ensure supervisory visits were completed every 14 days for one of two skilled medical records reviewed (Patient #1).

The agency failed to ensure the medical record contained documentation of nursing visit notes and care provided for one of four medical records reviewed (Patient #1).

The agency failed to ensure the plan of care included instructions that the patient was not be left alone, was at risk to wander off and failed to include how the transfer of care would occur when the POA/caregiver was not at home.

The agency failed to follow the physician's written plan of care regarding hours of service for two (Patient #'s 2 and 3) of three medical records reviewed.

The agency failed to promptly alert the physician of any changes in the patient's needs that suggest the plan of care should be altered.

The agency failed to coordinate care and delivery of services in order to meet the needs of the patient.

The agency failed to ensure the skilled nurse conducted an aide supervisory visit with the aide present for the non-skilled patient.