Classic Home Health Services, Inc

The agency failed to ensure the registered nurse prepared written patient care instructions that included safety parameters for 1 of 2 (P-7) records reviewed in which aide services were provided, resulting in a lack of direction regarding the needs of this patient.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 7 (P's #1, 2, 3, 4, 5, 6, 7) records, from a total of 7 sampled records reviewed, resulting in incomplete clinical information needed in determining the needs of these patients and…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to provide documented evidence of the drug regime review: failed to ensure the Registered Nurse provided oversight of the review process in 2 (P#'s 2, 3) records…

The agency failed to ensure the plan of care included all appropriate interventions, reportable parameters, medications and associated measurable goals for 6 (P#'s 4, 5, 7, 1, 2, 3) records, from a total of 7 sampled records reviewed, resulting in patients not receiving care based on their…

The Agency failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge and forwarded to the physician within 5 days from the date of discharge from the agency in 1 (P-3) of 2 patients who had been discharged from the agency's services…