Choice Health at Home

The agency failed to ensure skilled professionals maintained responsibility to prepare clinical notes in that the agency did not enforce a written policy for implementation of care for required documentation on missed visits or services for 1 of 7 patients when PTA 1 missed the scheduled visit on…

The agency failed to review medications the patient is currently using and failed to include a list of medications in the patient’s clinical record in 2 out of 3 patient records reviewed (Client 1 and Client 2).

The agency failed to enforce written policies on compliance with the OSHA, 29 CFR Part 1910.1030 and Appendix A relating to Bloodborne Pathogens, in that, two of ten employees (Alternate Administrator (Employee B) and Quality Assurance Nurse (Employee E) whose personnel records were reviewed were…

The agency failed to enforce its written policy for signature on physician orders for three of eight (Patient #’s 2, 3 and 6) clients whose records were reviewed.