Cns Homecare, Inc

The agency failed to ensure PT (physical therapy) services adequately assessed and monitored the needs of the patient in 1 (P-5) of 4 records reviewed with PT as the only skilled service ordered, resulting in the potential for poor clinical outcomes for this patient.

The agency failed to ensure that individuals who furnished Home Health Aide (HHa) services on its behalf, met the competency evaluation requirements for 2 (HHa #1 and HHa #2) of 2 Home Health Aides employed by this agency, resulting in the potential for the provision of substandard care and unmet…

The agency failed to ensure that 2 (HHa #1, HHa #2) of 2 Home Health Aides received the required 12 hours of annual in-service training, resulting in the potential for the rendering of substandard care and unmet care needs.

The Physical Therapist failed to prepare clear written patient care instructions, including safety precautions, for the home health aide regarding client needs prior to the provision of care for 2 (P-3, P-5) of 3 patients in which Home Health Aide services were ordered, resulting in the potential…

The agency failed to ensure that 2 (P-2, P-9) of 2 patients were aware of the disciplines who would be providing services, as well as their actual visit frequencies, resulting in the patient not being included in the overall planning of their care.

The agency failed to ensure the Registered Nurse conducted the initial assessment within 48 hours of the date of the referral for 1 (P-3) of 1 patient who required skilled services, resulting in the potential for lack of established immediate care needs or identification of homebound status.

The agency failed to ensure activity of daily living needs were adequately met in the home for 1 (P-2) of 1 patient who required assistance with grooming, resulting in the potential for poor hygiene, low-self-esteem and unmet care needs.

The agency failed to ensure the patient’s clinical record documented all medications and failed to provide documented evidence that a drug interaction report was completed for 6 (P-5, P-6, P-7, P-8, P-9, P-10) of 10 records reviewed.

The agency failed to ensure the Plan of Care (POC) was complete, detailed and individualized in 10 (P-1, P-2, P-3, P-4, P-5, P-6, P-7, P-8, P-9, P-10) of 10 records reviewed, resulting in the potential for untreated, breakthrough pain and an incomplete historical picture of the patient's clinical…

The agency failed to ensure visit frequencies were provided only as ordered by the physician for 1 (P-7) of 10 records reviewed, resulting in the potential for the provision of inappropriate care and services.

The agency failed to promptly alert the physician of patient changes in 2 (P-3 and P-7) of 10 patients, resulting in the potential for poor clinical outcomes.

The agency failed to ensure the home health aide (HHa) provided care in accordance with the aide plan of care in 1 (P-5) of 3 records with aide services provided, resulting in unauthorized patient care interventions and the potential for poor patient outcomes.

The agency failed to ensure clinical notes were complete, accurate, and maintained for 2 (P-5, P-8) of 10 records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The agency failed to ensure the Discharge Summary was forwarded to the Physician within 5 days of the date of discharge for 2 (P-2, P-7) of 3 patients who were discharged from the agency's services; and failed to complete a comprehensive transfer summary for 1 (P-5) of 2 patients who were…

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to the provision of care in 3 (MR#'s 1, 3, 5) of 4 records in which Home Health Aide services were ordered, from a total of 10…

The Agency failed to ensure that 2 (MR's #3 and 4) of 2 patients observed during a home visit, was included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, from a total of 10 sampled records reviewed, resulting…

The agency failed to inform all patients that they could voice concerns/complaints at any time by calling the State of Michigan's toll-free hotline number, resulting in misleading information to enable patients or caregivers to voice complaints or ask questions.

The agency failed to ensure the comprehensive assessment included a thorough review of the patient’s medications to identify any potential adverse effects such as: side effects, drug interactions, and duplicate drug therapy; failed to ensure the physician was notified if indicated; and failed to…

The Agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, and objectively measurable goals specific to the needs of the patient for 5 (MR's #7, 8, 2, 3, 4) records, from a total of 10 sampled records reviewed, resulting in patients not receiving…

The agency failed to provide 2 (MR's 3 and 4) of 2 patients observed during home visits, with a Medication Profile that included the names, dosages and frequencies of the patient's prescribed medications, in plain language, from a total of 10 sampled records reviewed, resulting in lack of direction…

The agency failed to ensure the patient was provided written information with the correct name and contact information for the agency's clinical manager for 1 of 2 (MR#8) joint survey home visits, resulting in a lack of information to enable patients to contact the clinical manager. this deficient…

The agency failed to ensure occupational therapy performed an assessment of the patient's health status and needs in 1 of 2 (MR# 10) records reviewed with occupational therapy services, resulting in the potential for unidentified health concerns, decline in physical functioning, and poor patient…

The agency failed to ensure the physical therapist provided services as ordered by the physician in the plan of care for 1 of 2 (MR# 6) records reviewed with physical therapy only services, resulting in the potential for poor patient outcomes for this patient.

The agency failed to ensure the home health aide provided care in accordance with the plan of care for 3 of 4 (MR's #10, 1, 3) patients in which aide services were provided, resulting in the potential for a poor patient outcome.

The agency failed to ensure the clinical record contained clinical notes for 1 of 2 (MR# 6) records reviewed with physical therapy only services, resulting in a lack of information for the physician and all agency staff caring for this patient.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 2 of 3 (MR's #9, 2) records of patients discharged from agency services, resulting in a lack of information to ensure continuity of care and the potential for unmet care needs.