Capital Home Health Care

The Agency failed to ensure the plan of care included objectively measurable and individualized goals in 4 (P-1, 2, 3, and 5) of 4 records reviewed with skilled nursing and/or physical therapy services ordered, resulting in a potential for failure to measure progress toward achievement of desired…

The Agency failed to provide documentation that it had conducted exercises to test its emergency plan annually, by way of a tabletop and community based full-scale exercise required every two years, and failed to conduct an additional exercise at least every two years opposite the year of the…

The Agency failed to ensure the Plan of Care (POC) included objectively measurable and individualized goals in 4 (P-1, 2, 3, 5) of 4 records reviewed with skilled nursing ordered out of a total of 7 records reviewed, resulting in a potential for failure to measure progress toward achievement of…

The Agency failed to ensure that the initial comprehensive assessment visit was conducted within 48 hours of the date of referral for 3 records (P-2, P-3, and P-7) from a total of 7 records reviewed, resulting in the potential for decline in the patient's health status and poor clinical outcomes.

The Agency failed to ensure the Plan of Care (POC) included appropriate safety measures, pertinent diabetic monitoring, and wound care treatments/interventions in 1 (P-4) of 3 records reviewed with skilled nursing services, out of a total sample of 7 records reviewed, resulting in the high…

The Agency failed to ensure services were provided only as ordered by the physician in 1 (P-4) of 1 record reviewed requiring wound care, out of a total sample of 7 records reviewed, resulting in the potential to negatively affect all 11 patients serviced by this Agency in the last 12 months.

The Agency failed to ensure the physician was notified of changes in the patient's condition in 1 (P-5) of 3 records reviewed with skilled nursing (SN) services, from a total sample of 7 records reviewed, resulting in the potential for a poor clinical outcome.

The agency failed to provide services as ordered in the plan of care in 1 of 7 records reviewed (P-1) out of a total of 7 records reviewed, resulting in the possibility of poor outcomes.

The Agency failed to ensure the clinical record was complete, including assessments, communication notes and discharge summary for 1 (P-7) of 3 records reviewed with therapy only cases, from a total sample of 7 records reviewed, resulting in an incomplete record that failed to provide any…

The agency failed to ensure a discharge summary was complete, provided the patient's health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 6 (P-2, P-3, P-4, P-5, P-6, P-7) of 7 closed records; and failed to ensure a transfer…