St Francis Health Care Services Inc

The agency failed to ensure that 4 of 10 ( #1, #2, #6 and #7) patients received care according to the plans of care in that: Patient #1's plan of care ordered daily skilled nurse visits on 6-27-17, a total of sixteen (16) visit were not done between the dates of 6-28-17 to 7-13-17. Patient #2's…

The agency failed to ensure that 1 of 2 ( #3) wound dressings observed during home visit was done as ordered on the plan of care ; 2 of 3 ( #3 and #4) patients with a diagnosis of diabetes blood sugar was assessed during home visit; 2 of 3 (#3 and #4 ) patients medications were reviewed during a…

The agency skilled nurse failed to ensure an initial assessment to evaluate the needs of on 1 of 10 ( #4) sampled patients after a referral from a hospital in that Patient #4 was referred to the agency on 4-8-16 but was not admitted until 4-12-16 The failure of the skilled nurse to assess the needs…

The agency failed to ensure 2 of 4 ( #3 and #8 ) patients medications reviewed during a home visit were accurate in that Patient #3 comprehensive assessment was completed on 1-22-18, home visit was made on 2-1-18 and his medications were not updated Patient #8 last comprehensive assessment was…

The agency failed to ensure that a assessment was completed on 1 of 1( #1) patients after a visit to the hospital in that Patient #1 was admitted to the agency on 6-27-17 was admitted to hospital on 6-29-17 and discharged home on 7-1-17, no assessment was completed after the hospitalization The…

The agency failed to ensure that 3 of 7 ( #3, #4 and #10) current patients plan of care included all elements in that Patient #3, #4 and #10 plan of care did not include a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to…

The agency skilled nurse ( LVN #1) failed to ensure that wound care treatments for 1 of 2 ( #3) patients with wounds and 1 of 1( #8) patient with a abdominal dressing change observed during home visit was done as ordered by the physician in that LVN #1 applied wound care treatment to patient #3…

The agency failed to ensure that 1 of 10( #8) plan of care was reviewed by the physician at least every 60 days in that Patient #8 did not have a current plan of care to follow during a home visit The failure of the agency to ensure that patient #8 had a current plan of care placed this patient at…

The agency skilled professionals failed to ensure that the continuing needs of 1 of 1 ( #8) patient was assessed by a registered nurse and failed to ensure the wounds of 2 of 7 ( # 3 and #5) patients were accurately assessed and treated by skilled nurses in that Patient #8 plan of care ended on…

The agency failed to ensure that 1 of 2 ( #3) wound dressings observed during home visit was done as ordered on the plan of care ; 2 of 3 ( #3 and #4) patients with a diagnosis of diabetes blood sugar was assessed during home visit; 2 of 3 (#3 and #4 ) patients medications were reviewed during a…

The agency clinical manager failed to ensure plans of care was followed 6 of 10 sampled patients (#1, #2, #3, #4 , #6 and #7) and that 1 of 10 (#8) sampled patients plan of care was generated in that LVN #1 did not review the medications of patients #3 and #4 during home visit conducted on 2-1-18…