Comfort Care Home Health and Hospice

The agency failed to ensure the agency developed individualized emergency preparedness plans as part of the comprehensive assessment for six (6) of seventeen (17) clinical records reviewed in the survey sample (clinical record #2, 3, 4, 7, 8, and 9).

The agency staff failed to follow physicians orders and failed to notify the physician of missed visits for four (4) of seventeen (17) clinical records in the survey samples (clinical records #5, 7, 9, and 10).

The agency failed to ensure that patients were informed about and consented to the frequency of proposed visits in advance of starting care in two (2) of seventeen (17) clinical records reviewed in the survey sample (clinical record #'s 3 and 14).

The agency failed to ensure each patient was advised in advance of providing care the extent to which payment for HHA (home health agency) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, the charges for services that may not…

The agency's staff failed to ensure each plan of care contained specific information required on the plan of care for five (5) of seventeen (17) clinical records reviewed in the survey sample . Specifically, the plan of care failed to contain specific orders for wound care and Foley catheter care.

The agency failed to ensure the physician was notified of the patient's condition that indicated desired outcomes were not being met or changes were needed in the plan of care.

The agency failed to send the patient's discharge summary to the primary care physician within five (5) business days of discharge for three (3) of five (5) discharged patients in the survey sample (Clinical records #1, 2, and 4).