Beacon Skilled Care LLC
Inspection 2025-07-28
· Complaint · 12 deficiencies · CMS source report (PDF)Specifically, the agency failed to ensure each patient received home health services in accordance with a complete and accurate written plan of care established; to ensure services and treatments were provided in conformance with physician's orders; to ensure services and treatments were provided…
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Specifically, the agency failed to ensure each patient received services from skilled professionals who were responsible for ensuring patients' received ongoing interdisciplinary assessment, received services in accordance with their plan of care as ordered by their physician and that all…
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The agency failed to ensure the skilled professional assumed responsibility for the needs of the patients.
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The agency failed to respect the patient's rights.
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The agency failed to ensure the individualized plan of care (POC) was complete, accurate and included all services and treatments to be provided, the frequency and duration of visits to be made and specific treatment orders to follow in 7 of 15 patient records reviewed (Patients #1, #3, #4, #5…
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The agency failed to ensure services and treatments were provided only as ordered by a physician in accordance with professional standards of practice in 12 of 15 Patient records reviewed (Patients #1, #3, #4, #5, #6, Focus Patients A, B, C, D, E, F and G).
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The agency failed to ensure the proper authentication of verbal orders for 13 of 15 patients whose registered nurse received verbal orders.
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The agency failed to notify the patient's physician to reflect changes in the patient's condition to suggest client outcomes were not being achieved, and changes to the plan of care were found for 7 of 7 patients reviewed with missed visits.
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The agency failed to assure communication with all physicians involved in the plan of care for 13 of 15 patient records reviewed (Patient #1, #3, #4, #5, #6, #7, Focus Patients A, B, C, D, E, F and G).
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The agency failed to ensure the skilled professional ensured services provided only as ordered by the physician as indicated in the Plan of Care (POC) for 12 out of 15 patients (Patients #1, #3, #4, #5, #6, Focus Patients A, B, C, D, E, F and G).
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The skilled professionals failed to communicate pertinent information regarding the patient’s plan of care to the physician for 5 of 15 records reviewed (Patient #1, #4, #6, Focus Patient C, and G).
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The Administrator failed to adequately and effectively organize and direct the agency's day-to-day operations.
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