Advantage Health Systems

The agency failed to ensure the patients received care and services as written in the POC for three of five sampled patients (Patients 1, 2, and 5), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the collected data was analyzed to assess the agency's processes of care, services, and operations, creating the risk for not addressing care problems.

The agency failed to ensure the performance improvement project was conducted annually to reflect the scope, complexity, and past performance of the agency's services and operations, creating the risk of not addressing poor performance and care concerns.

The agency failed to ensure the infection control data was accurately summarized and analyzed, creating the risk of not identifying appropriate action plan for infection control.

The agency failed to ensure the clinical record was complete for three of five sampled patients (Patients 1, 3, and 5), creating the risk of substandard care provided to these patients as their clinical information was not complete.

The agency failed to ensure the comprehensive assessment was complete to include the patient's wound size for one of five sampled patients (Patient 1), creating the risk of not providing necessary care and services for this patient.

The agency failed to ensure the skilled professionals provided services as written in the POC for three of five sampled patients (Patients 1, 2, and 5), creating the risk of not providing appropriate, consistent, and quality care to these patients.