Tender Loving Care, an Amedisys Company

The agency failed to ensure that Skilled professionals (nursing ) that provide services to Home Health Agency (HHA) patients communicate and are supervised to ensure coordination of care.

The Governing Authority failed to submit all required Emergency Response Drill Reports to the New York State Department of Health.

The Agency failed to ensure that pertinent services and treatments are performed in accordance to the Physician's Order.

This was evident based on review of the Quality Assessment Performance Improvement meeting minutes for the 2022 and 2023. Failure to ensure the QAPI program adequately identify and analyze pquality indicators, has the potential for negative outcome. -The iQIES Potentially Avoidable Events (PAE’s)…

The agency failed to provide documented evidence that Performance Improvement Projects (PIP) were conducted.

Failure to address priorities for improved quality of care, and patient safety has the potential for negative patient outcome.

The agency failed to ensure Skilled Nursing Professionals services delivery are supervised by qualified health care professionals, in accordance with State regulations; agency's established policy and procedures.

The Agency failed to ensure a comprehensive review of all medication’s patients are taking.

The Agency failed to establish individualized Plans of Care that includes License Practical Nurse services, treatments, and patient's Rehabilitation Potential.

The agency failed to ensure an ongoing interdisciplinary assessment between skilled professionals that include periodic discussions among the team regarding the patient's health status and recommendations for the Plan of Care.

The agency failed to ensure that clinicians prepare and document complete and accurate clinical and progress notes that reflect the current patients status.

The agency failed to ensure that ongoing communication with each patient's Physician was maintained.

The agency failed to ensure that Licensed Practical Nurses are working within the services Licensed Practical Nurse State regulations, agency's policy and under the supervision of a Registered Nurse.

The Agency failed to ensure Skilled Professional Nurse assessment of the patient's clinical status.

The Agency failed to ensure that individualized Plan of Care are established for each patient.

The Agency failed to ensure that services and/or treatments were provided in conformance with physician orders documented on the Plan of Care.

The Agency failed to provide services as ordered by the physician as indicated on the plan of care.

The Agency failed to ensure communication with the patient's Physician related to the current Plan of Care.

The agency failed to ensure that services and treatments are provided in accordance with the Plan of Care (POC).

The agency failed to ensure Plan of Care (POC) was developed to meet the individualized needs of the patient.

The Agency failed to ensure the coordination of care provided by the disciplines to ensure the integration of services, identification of patient needs and treatment continuity and effectiveness.

The agency failed to ensure an ongoing interdisciplinary assessment between skilled professionals that include periodic discussions among the team regarding the patient's health status and recommendations for the Plan of Care.

The agency failed to ensure that ongoing communication with each patient's physician is maintained.

The Agency failed to ensure services are provided in accordance with current clinical practice guidelines, accepted professional standards of practice and the Agency's policy and procedure.