Spirit Homecare, Inc

The facility failed to ensure an order for a patient to have nothing by mouth was included in the plan of care.

The facility failed to ensure a patient received education regarding smoking with the use of oxygen.

The facility failed to ensure the agency had a Clinical Manager/Director of Nursing (DON) responsible for overseeing clinical operations (G958) and failed to ensure a Clinical Manager/DON was available during agency operating hours (G950).

The facility failed to ensure staff observed and assessed a pressure ulcer according to the physician orders.

The agency failed to ensure a Director of Nursing/Clinical Manager was employed full time to provide oversight of clinical operations.

The facility failed to review the patient's medications for potential adverse effects, drug reactions and significant side effects.

The facility failed to ensure a resumption of care assessment was completed within 48 hours of the patient’s return.

The facility failed to ensure a Director of Nursing/Clinical Manager was available during operating hours.

The agency failed to ensure a comprehensive assessment was completed within 48 hours of the patient's return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests, or on physician or allowed practitioner - ordered resumption date for one of one patient…