Argus of Colorado Home Health

The agency failed to ensure certified nurse aides (CNA) received the required observed competency evaluation in accordance with regulation prior to assignment of CNA services for 1 of 1 contracted CNA personnel records reviewed (CNA #5).

The agency failed to provide services and treatments only as ordered by the physician for 5 of 5 patient records reviewed (Patients #1, #2, #3, #4 and #5).

The agency failed to ensure clinical records contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 3 of 3 discharged records reviewed (Patients #1, #4 and #5).

The agency failed to ensure services and treatments were provided in conformance with physician's orders for 3 of 3 patient records reviewed (Patients #1, #2 and #3).

The agency failed to ensure the comprehensive assessment accurately reflected each individual patient's status and included their medical and nursing needs for 1 of 2 discharged patients reviewed (Patient #1).

The agency failed to ensure a complete comprehensive assessment was updated and revised, including the administration of the Outcome and Assessment Information Set (OASIS) within 48 hours of the patient's return home from a hospital admission of 24 hours or more, for 2 of 2 discharged patients…

The agency failed to coordinate care delivery to meet the patient's needs for 2 of 3 patient records reviewed requiring wound care (Patient #1 and #3).

The agency failed to ensure a completed discharge summary was provided to the physician responsible for the care within five business days and a completed transfer summary was sent within two business days after becoming aware of an unplanned transfer to the hospital in 2 of 2 discharged patient…

The agency failed to ensure care was provided according to each patient's individualized written plan of care, including any revisions or additions to care, services and treatments and were in conformance with physician orders for 3 of 10 patients selected for review (Patients #3, #6, and #8).

The agency failed to ensure nursing staff complied with professional standards and principles pertaining to appropriate infection control during the provision of care for 2 of 5 patients selected for home visits (Patient #1 and #5).

The agency failed to ensure certified nurse aide (CNA) supervision occurred at least every two weeks for 4 of 7 patients receiving skilled nursing (SN) care and CNA services (Patients #5, #6, #7, and #9).

The agency failed to maintain a clinical record for each patient that was accurate, and adhered to current clinical record documentation standards of practice.