The Community Group Home Health LLC

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the SN (Skilled Nurse) administering medications that were not on the patient’s plan of care for 1 (patient #5) out of 7 sampled patients.

The agency failed to ensure Patient #7's physician was promptly alerted of a seven pound weight gain in one week that was noted by the skilled nurse during the skilled nurse visit made on 6/3/2021 for 1 (#7) out of 7 sampled patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by 1.) the SN (skilled nurse) failing to change the condom catheter daily and failing to document urinary output every shift for patient #1 and 2.) the agency failing to ensure a SN was…

The agency failed to ensure the agency staff immediately reported incidences or circumstances of neglect as evidenced by documentation found in patient #4's clinical record where S2LPN (licensed practical nurse) found the patient saturated in urine and uncovered in a cold room for 1 (#4) out of 7…

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the SN (skilled nurse) failed to notify the RN (Registered Nurse) or the physician of seizure activity for 1 (#4) out of a total sample of 5 patients.

The agency failed to provide documentation that grievances/complaints were addressed for 1 (#2) out of a total sample of 5 patients.