C & M Health Services

The Registered Nurse (RN) failed to ensure that patients' individualized plan of care (POC) included all the required elements for 4 of 7 patients (#1, #2, #3, and #7) whose records were reviewed in that: 1. Patient #1 and #7's POC did not include orders for the skilled nurse to assess the…

The skilled nurse failed to provide services as ordered by the physician in the plans of care (POC) for 3 of 7 (#1, #5, and #7) patients in that: 1. Patient #1's POC ordered the SN to instruct on the patient's medications management.

The Administrator/Alternate Administrator failed to organize and direct the agency's ongoing functions for 5 of 7 patient (#1, #2, #3, #5 and #7) reviewed in that: 1. The Administrator failed to ensure the SN establish individualized plans of care (POC) which included all the required elements for…

The agency staff failed to use procedures in its EPRP, to identify and assist patients needing evacuation assistance for 1 of 3 patients (#1) seen for a home visit in that: Patient #1 did not have an individualized emergency plan and was not registered with local/state transportation assistance.

The Director of Nursing/Alternate Director of Nursing failed to provide oversight of all patient care services for 5 of 7 patients (#1, #2, #3, #5 and #7) reviewed in that: 1. The DON failed to ensure skilled services were provided as ordered for Patients' #1, #5, and #7; 2. The DON failed to…

The Registered Nurse (RN) failed to ensure that patients' individualized plan of care (POC) included all the required elements for 4 of 7 patients (#1, #2, #3, and #7) whose records were reviewed in that: 1. Patient #1 and #7's POC did not include orders for the skilled nurse to assess the…

The agency failed to ensure treatments were administered only as ordered by a physician for 1 of 1 diabetic patient (#3) in that: LVN #60 provided fingerstick blood sugar checks on Patient #3 without an order.

The agency's skilled professional failed to alert the ordering physician regarding changes in the patient's condition or needs that suggest a need to alter the POC for 2 of 7 (#1 and #3) patients reviewed in that: 1. RN #54 did not alert the physician that Patient #1 had an elevated blood pressure…

The skilled nurse failed to provide services as ordered by the physician in the plans of care (POC) for 3 of 7 (#1, #5, and #7) patients in that: 1. Patient #1's POC ordered the SN to instruct on the patient's medications management.

The agency failed to ensure skilled professionals prepared and completed clinical notes in accordance with accepted professional standards for 2 of 7 (#3) patients reviewed in that: 1. Patient #2's CR did not contain SN visit notes from 4/1/18 - 4/14/18 for the certification period; 2. Patient #3's…

The agency's skilled nurse failed to communicate with the physicians and other health care practitioners related to the current POC for 2 of 7 (#1 and #3) patients reviewed in that: 1. Patient #1 POC ordered the SN to report to the physician out of range BPs.

The agency's Director of Nursing/Alternate Director of Nursing failed to supervise and direct the care for skilled nursing services for 5 of 7 (#1, #2, #3, #5, and #7) patients whose records were reviewed in that: 1. SN services were not provided to Patients' #1, #5, and #7 as ordered in the plan…

(This is a continuing deficiency from survey dated 3/19/18) Based on observation, interview and record review, the Administrator/Alternate Administrator failed to organize and direct the agency's ongoing functions for 5 of 7 patient (#1, #2, #3, #5 and #7) reviewed in that: 1. The Administrator…

Home health agency services were not provided in accordance with current clinical practice guidelines and accepted professional standards when the Alternate Administrator/Director of Nurses failed to ensure appropriate preventative and rehabilitative nursing procedures related to infection control…