Tahoe Forest Hhs

The registered nurse case manager failed to perform the initial assessment (the first home health visit) for one out of seven sampled patients (Patient 4), when the physical therapist (PT) performed the initial assessment instead.

The agency did not individualize the plan of care (POC, documentation that described what care a patient would receive) for four out of seven sampled patients (Patients 3, 4, 5, and 7), when the POC did not include pertinent diagnoses (conditions that were present and had the potential to affect…

The agency failed to ensure two of seven sampled patients (Patient 2, and Patient 6) received all disciplines ordered by the physician, this included home health orders that included a Medical Social Worker (MSW) for Patient 2, and a Home Health Aide (HHA) for Patient 6, when admitted to the agency.