Comprehensive Home Care of Northwest Florida Inc

The agency failed to have evidence of a functioning Quality Improvement (QI) Program.

The agency failed to ensure a Transfer to Inpatient Facility Outcome and Assessment Information Set (OASIS) was appropriately dated for 1 of 1 sampled patient who required the completion of a Transfer to Inpatient Facility OASIS (#7).

The facility failed to retain closed records for 5 years after discharge for 1 of 3 sampled patients.

The agency failed to ensure the registered nurse conducted the initial assessment for 3 of 3 sampled patients (#3,5, 6,) who had both nursing and rehabilitation therapy services ordered.

The agency failed to promptly alert the physicians of the need to alter the plan of care for 5 of 8 sampled patients (#3, #7, #6, #2, and #5).

The agency failed to communicate with the patient's physician the need to revise the plan of care for 1 of 8 sampled patients (#3) when the patient's condition improved and the physical therapist's visit frequency could be decreased.

The agency's registered nurse and physical therapist failed to provide services as ordered in the plan of care for 6 of 8 sampled patients (#3, #7, #5, #6, #2 and #8).

The agency failed to ensure 6 of 8 sampled patient records (#3, #7, #6, #2, #5 and #8) were complete and contained appropriate documentation for patient refusal of ordered nursing services, missed visits, physician notification of missed visits, or physician orders changing the patients' visit…