Community Home Health Care, Inc.

Agency failed to obtain physician signature within thirty (30) days for two (2) of seventeen (17) files reviewed.

Agency failed to obtain timely initial Tuberculin (TB) screening for three (3) out of five (5) PF reviewed ( PF # 1; PF # 2; PF # 5) and timely annual screenings for two (2) out of five (5) PF reviewed.

Skilled nursing failed to ensure the agency staff followed the plan of care or obtained updated physician orders for nineteen (19) of twenty-five (25) records reviewed.

Agency failed to include a review of all medications currently taken for seven (7) out of twenty-five (25) MR reviewed.

Agency failed to include required elements in the plan of care for twenty-four ( (24) out of twenty-five (25) MR reviewed.

Agency failed to include all patient care orders, including verbal orders, in the plan of care for nineteen (19) out of twenty-five (25) MR reviewed.