Totalcare Homecare

The agency nurses failed to follow agency policies.

The agency nurses failed to follow physician’s orders and failed to ensure the plan of care addressed the patient’s individual needs.

The agency's nurses failed to provide the necessary assessments.

G 718 Based on clinical record reviews and interviews with agency personnel, for one of three patients (Patient #1) in the survey sample, the agency nurses failed to communicate with the physician involved in the plan of care.

The Clinical Manager failed to provide oversight of all patient care services and personnel related to patient assignments.

The agency nurses failed to follow agency policies.

The agency nurses failed to follow physician’s orders and failed to ensure the plan of care addressed the patient’s individual needs.

The agency's nurses failed to provide the necessary assessments.

The agency failed to ensure the alternate administrator was hired by the agency and available for all day-to-day operations of the Home Health Agency/HHA and actively involved in the daily responsibilities of running the HHA in the absence of the Administrator.

The agency's professionals failed to develop a comprehensive plan of care with interventions that addressed the assessment of the Patients' aterio-venous fistulas.

The agency professional failed to coordinate the patient's care with communication to the primary care nurse.

The agency's nurses failed to provide the necessary assessments.

The home health agency failed to ensure the participation of all skilled professional staff in the activities of the Quality Assurance and Performance Improvement (QAPI) committee.

The agency professionals failed to develop a comprehensive plan of care with interventions that addressed the patient's risk for pressure ulcers.

The agency professionals failed to coordinate the patient's care through communication and interventions to prevent skin breakdown.

The agency professionals failed to provide the necessary education to the patient and the family on wound care to promote wound healing through the frequency of dressing changes ordered by the physician.

The home health agency failed to ensure the participation of all skilled professional staff in the activities of the Quality Assurance and Performance Improvement (QAPI) committtee.