Star Care Home Health, LLC

The agency failed to enforce a written policy that addressed applicable state laws or established the time frame for the countersignature of a physician’s verbal order for 2 of 5 active clients (Client #1 and #3) reviewed receiving skilled care.

The agency failed to ensure the patient received the home health services that are written in an individualized plan of care (POC) for 3 of 15 (Patient #1, #9, and #14) patients reviewed in that: The skilled nurse failed to obtain complete blood count (CBC) labs and failed to change the urinary…

The agency failed to provide services for 3 of 15 (Patient #1, #9, and #14) in that: The agency failed to obtain complete blood count (CBC) labs and failed to change the urinary catheter as written in the POC for 1 of 1 (Patient #9) patient reviewed with a diagnosis of leukemia, sepsis, and UTI…

The agency failed to maintain required documents within the clinical record for 4 of 15 (Patient #1, #7, #9, and #14) patient records in that: The agency failed to ensure the clinical record included current and accurate physician orders for urinary catheter changes and flushes for 2 of 2 (Patient…

The agency failed to ensure the patient received the home health services that are written in an individualized plan of care (POC) for 3 of 15 (Patient #1, #9, and #14) patients reviewed in that: The skilled nurse failed to obtain complete blood count (CBC) labs and failed to change the urinary…

The agency failed to maintain required documents within the clinical record for 4 of 15 (Patient #1, #7, #9, and #14) patient records in that: The agency failed to ensure the clinical record included current and accurate physician orders for urinary catheter changes and flushes for 2 of 2 (Patient…

The agency failed to ensure the plan of care included the types of services, frequency, and supplies for 4 of 15 (Patient #1, #7, #8, and #9) patients reviewed in that: The agency failed to ensure physician orders were received prior to providing urinary catheter changes and flushes for 2 of 2…

The agency failed to ensure that treatments are administered only as ordered by the physician for 3 of 15 (Patient #1, #9, and #14) patients reviewed receiving skilled nursing services and occupational therapy in that: The skilled nurse failed to obtain complete blood count (CBC) labs and failed to…

The agency failed to ensure communication with the physician and RN (registered nurse) case manager regarding care for 4 of 15 (#1, #7, #9, and #14) patients in that: The agency failed to communicate and clarify orders with staff and the physician regarding CBC lab draws and current lab orders for…

The agency failed to assure the identification of patient needs for 4 of 15 (#1, #7, #9, and #14) patients that could affect patient treatment in that: The agency failed to ensure the patient's needs were identified and accurate for Patient #7 when physician orders for physical therapy (PT) and…

The agency failed to provide services for 3 of 15 (Patient #1, #9, and #14) in that: The agency failed to obtain complete blood count (CBC) labs and failed to change the urinary catheter as written in the POC for 1 of 1 (Patient #9) patient reviewed with a diagnosis of leukemia, sepsis, and UTI…

The agency failed to effectively coordinate care with the physician to ensure that quality of care was provided to support the objectives in the plan of care (POC) for 4 of 15 (Patient #1, #7, #9, and #14) patients in that: The skilled nurse failed to communicate with the case manager and physician…