Vna Alliance

The agency failed to ensure the Skilled Nurse (SN) performed skilled nursing visits according to physician's orders for one (1) of three (3) CR reviewed.

The agency failed to ensure the Skilled Nurse (SN) performed skilled nursing visits according to physician's orders for one (1) of three (3) CR reviewed.

The agency failed to ensure the patient's plan of care was individualized and contained all medications and treatments (G574), the agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or…

The agency failed to provide the patient a written individualized emergency plan for two (2) of two (2) clinical records, from agency's south team, that were reviewed for emergency preparedness during home visits (CR12, & CR13).

The agency failed to ensure staff who provided care, either directly or under arrangement, were coordinating all identified patient concerns and patient progress toward the goals of the plan of care with others involved in the patient's care for five (5) of five clinical records (5) reviewed who…

The agency failed to ensure staff followed agency policy and procedure and acceptable standards of practice for hand hygiene, cleaning of equipment and bag technique for four (4) of seven (7) staff observed during home visits (EMP5, EMP7, EMP8, & EMP13).

The physical therapist failed to complete the comprehensive assessment no later than 5 calendar days after start of care for one (1) of eight (8) active records receiving physical therapy services (CR17).

The agency failed to ensure the patient's plan of care was individualized and contained all medications and treatments for eight (8) of 23 records reviewed (CR4, CR5, CR9, CR14, CR15, CR17, CR21, & CR22).

The agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for three (3) of five (5) discharged records reviewed (CR1, CR2, & CR4), and five (5) of…

The agency failed to integrate services, provided directly or under arrangement, to assure the identified patient needs and factors that could affect patient safety and treatment effectiveness were coordinated between disciplines for five (5) of five (5) clinical records reviewed who received…

The agency failed to coordinate care delivery to meet the needs of the patient for five (5) of five (5) of active clinical records reviewed receiving telehealth services (CR19-CR23), and two (2) of five (5) discharge records reviewed (CR1, & CR4).

The agency failed to ensure that the skilled nursing staff documentation was accurate and consistent in accordance with the physicians ordered plan of care and patient needs for two (2) of 18 active CRs reviewed (CR9, CR15) Findings Included: A review of agency job descriptions on 3/14/18 at…

Professional staff failed to communicate with physicians involved in the plan of care and other health care practitioners related to the current plan of care for three (3) of five (5) discharged records reviewed (CR1, CR2, & CR4) and five (5) of five (5) active records reviewed receiving telehealth…

The administrator failed to ensure coordination of patient care occurred in a safe in effective manner for five (5) of five (5) of active clinical records reviewed receiving telehealth services (CR19-CR23), and two (2) of five (5) discharge records reviewed (CR1, & CR4).

The clinic manager failed to ensure the patient's plan of care was individualized and contained all medications and treatments and ensure that staff promptly alert the relevant physician(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or…

The agency failed to provide care in accordance with acceptable standards of practice for one (1) of two (2) patients with peripherally inserted central catheters (PICC) (CR16).