Vitalcaring Group

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by, the SN failing to make SN (skilled nurse) visits per the POC for patient (#1), the SN failing to obtain blood glucose readings for patient (#6 and #8), and the SN failing to obtain…

The agency failed to ensure the SN (skilled nurse) notified the physician of a 3.7 pound weight gain in one day for 1 (#6) out of 13 sampled patients.

The agency failed to conduct an exercise at least annually to test the emergency plan.

The agency failed to ensure the patient's written individualized POC (Plan of Care) was followed as evidenced by the SN (Skilled Nurse) failing to inform the physician of a patient’s pain intensity falling outside the established parameter for patient (#2), failing to ensure PT (Physical Therapy)…

The agency failed to ensure Patient R1 was free from mental and verbal abuse for 1 random selected patient (R1).

The agency failed to ensure the plan of care was developed in consultation with the agency staff and covers all pertinent diagnoses and types of services for the patient as evidenced by: 1. No documentation for Patient #5 whom was admitted to the agency with a diagnosis of heart failure that the…

The agency failed to ensure that staff promptly alert the physician of any changes that suggest a need to alter the patient's plan of care as evidenced by staff not alerting the physician that patient #6 was having nausea and vomiting for 1 (#6) out of 12 sampled patients.

The agency failed to ensure the patient's plan of care was followed as evidenced by failing to provide documentation of skilled nurse visits for 1 (#7) out of 12 sampled patients.