1ST Genesis Home Health Services

The agency failed to ensure that services were provided as written in the individualized plan of care as ordered by the physician in 2 of 7 patients reviewed (Patients #1 and #6) in that the frequency of Skilled Nurse and PT visits was not followed for patient #1 and the frequency of SN visits was…

The administrator failed to ensure that the agency's Alternate Clinical Manager / Alternate Supervising Nurse was available during operating hours in that the Alternate Clinical Manager / Alternate Supervising Nurse was not available in person, by phone and was not available to see patients during…

The agency failed to ensure that services were provided as written in the individualized plan of care as ordered by the physician in 2 of 7 patients reviewed (Patients #1 and #6) in that the frequency of Skilled Nurse and PT visits was not followed for patient #1 and the frequency of SN visits was…

The RN did not conduct a complete skin assessment that included the sacral wound or the wound on the foot, did not conduct an accurate pain assessment and did not include any details about the urine collected for analysis and sensitivity.

The agency failed to include all treatments on the plan of care for 1 of 7 patients (#1) reviewed, in that wound care orders were not included in the Plan of Care.

The agency failed to alert the physician of changes in the patient’s condition or needs that suggested outcomes were not being achieved and/or the plan of care should be altered in 3 of 7 patients reviewed (patient #2, patient #3 and patient #7).

The administrator failed to ensure that the agency's Alternate Clinical Manager / Alternate Supervising Nurse was available during operating hours in that the Alternate Clinical Manager / Alternate Supervising Nurse was not available in person, by phone and was not available to see patients during…

Based on record review and interview the Supervising Nurse / Clinical Manager failed to ensure that the patient needs were continually assessed in 1 of 7 patients reviewed (patient #2) in that the patient’s pain, urinary tract infection and wound were not correctly/ appropriately assessed…

The agency failed to provide wound care services in accordance with current clinical practice in that wet-to dry dressings were used for 1 of 2 patients reviewed (#2) with an infected wound and the wound infection worsened.