Caretenders

The agency failed to identify and update the medication profile with medications the patients were currently using.

The agency failed to ensure services were provided as ordered by the physician as indicated on the plan of care.

The agency failed to provide Skilled Nursing visits as ordered for one of seven patients whose medical records were reviewed, Patient #1. Findings include: Interview with Staff A (Director of Clinical Services) on 05/23/19 at 9:44 AM revealed Patient #1 had a missed visit over the weekend.

The agency failed to provide wound care treatments per physician's order for one of seven patients whose medical records were reviewed, Patient #1. Findings include: Patient #1 was admitted to the agency on 09/29/17 with primary diagnoses of Chronic Venous Insufficiency and Non Pressure Chronic…

The agency failed to ensure patients received all services outlined in the plan of care for two of 12 patients reviewed (Patient #1 and #11).

The agency failed to ensure the Registered Nurse completed an initial assessment within 48 hours of the receipt of referral, within 48 hours of the patient's return home, or on the physician ordered start of care date for ten of 12 patients reviewed (Patient #1, #2, #3, #4, #6, #7, #8, #9, #11 and…

The agency failed to update the comprehensive assessment during the last five days of the certification period for one of 12 patients reviewed (Patient #10).

The agency failed to notify the physician when the patient's plan of care should be altered for ten of 12 patients reviewed (Patient #1, #2, #3, #4, #6, #7, #8, #9, #11 and #12).