Albridge Skilled Home Care

The agency failed to ensure that 2 (MR's# 1 and 2) of 2 patients were included in their overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided and disciplines that will furnish care, resulting in a lack of inclusion in planning…

The agency failed to ensure the Plan of Care included individualized orders in 2 of 2 records reviewed (MR#s 1 and 2), resulting in patients not receiving care specific to their needs and the potential for poor patient outcomes.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status, past medical history, history of events leading to home care, baseline data for future assessments, and ascertained the patient's immediate care needs in 3 of 3…

The agency failed to inform patients how to access auxiliary aids and language services, resulting in the potential for unmet patient care needs for the agency's 3 patients who received services within the last 12 months.

The agency's patient rights statement failed to include the agency's responsibility for taking action to prevent further violations, including retailiation, while the agency investigates a complaint, affecting all 3 patient who received services in the past 12 months, resulting in the potential for…

The agency failed to ensure the comprehensive assessments included the findings from a review of all medications the patients are taking in 3 of 3 records reviewed out of a total sample of 3 records reviewed, resulting in the potential for patient injury due to adverse effects.

The agency failed to ensure the plan of care included measurable and individualized goals and outcomes as required in 3 of 3 records reviewed out of a total sample of 3 records reviewed (MR #1-3).

The registered nurse failed to ensure the patient's blood sugars were assessed in 1 of 2 records reviewed in which the patient was a diabetic out of a total sample of 3 records reviewed, resulting in the possible decline in the patient's health status or patient injury from excessively high or low…

The agency failed to ensure the discharge summaries included the patient's status, specific care provided and response/outcomes in 3 of 3 discharged records out of a total of 3 records reviewed (MR #1, 2 and 3), resulting in the potential for unmet post-discharge needs.