Tender Loving Care, an Amedisys Company

Governing Authority failed to ensure that patient's Comprehensive Assessments are updated based on changes in patient's conditions.

The agency failed to ensure that Occupational Therapy (OT) and Speech Therapy (ST) are provided in accordance with the Physician's Orders.

The Agency failed to ensure that the Registered Nurse reviewed all the patient’s current medications as ordered by the Physician.

The Agency failed to develop individualized patient Plans of Care for Licensed Practical Nurse services, Physical Therapy Assistant, Occupational Therapy Assistant and Durable Medical Equipment . This was evident in five (5) of nineteen (19) clinical records reviewed.

The Agency failed to ensure that patient care treatments are administered as ordered by the Physician.

The Agency failed to provide Skilled Nursing services as ordered in the Plan of Care.

The Agency failed to ensure that services and/or treatments were provided in accordance with the Plan of Care (POC).

The Agency failed to ensure the patient's initial assessment is conducted within forty-eight (48) hours of date of referral, physician ordered start of care or patient's return home.

Staff interview the Agency failed to ensure that Clinical Personnel review the patient's current medication regime to ensure accuracy and comprehensiveness.

The Agency failed to ensure comprehensive patient Plans of Care (POC).

The Agency failed to promptly notify the Physician of changes in patient's clinical status which might require alteration to the Plan of Care.

Staff interview the Agency failed to ensure coordinated care delivery to meet the patient's needs and to involve Assisted Living Caregivers in the development of a comprehensive Plan of Care (POC) that identifies and documents all the patient's current medications.

The Agency failed to ensure that professional staff make an onsite visit to the patient's home no less frequently than every fourteen (14) days to supervise the home health aide (hha).

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 "The Provision of Wound and Skin Care".