Con Encanto Healthcare LLC
Inspection 2018-10-26
· Recertification, Sample Validation · 7 deficiencies · CMS source report (PDF)The agency failed to ensure that entries to the clinical record were current and accurate for 1 of 5 active L&C (Licensed & Certified) patient (#4) whose record was reviewed.
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The agency failed to protect the patients rights by failing to ensure the skilled nursing conducted all the services outlined on the Plan of Care (POC) for (1 of 5 patients) Patient #4 whose records were reviewed.
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The agency failed to ensure the Plan of Care (POC) included patient-specific intervention and education"... for one of five active patients (#4) whose records were reviewed.
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The agency failed to enforce a written policy regarding coordination of services to ensure that delivery of care met the patient's needs for 1 of 5 active patients (#2) and 1 of 2 discharged patients (#7) whose records were reviewed.
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The agency failed to enforce a written policy regarding coordination of services to ensure that delivery of care met the patient's needs for 1 of 5 active patients (#2) and 1 of 2 discharged patients (#7) whose records were reviewed.
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The agency failed to provide patient and caregiver education for 4 of 5 patients (#1, #2, #3, #4) and 2 of 2 discharged patients (#6 and #7) whose records were reviewed in that: 1. Licensed Vocational Nurse (LVN) A did not provide instruction as ordered on active Patient #1's POC.
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The Administrator failed to manage the daily operations as follows: 1. The Administrator failed to protect the patients rights by failing to ensure the skilled nursing conducted all the services outlined on the Plan of Care (POC) for 1 of 5 active patients (Patient #4) whose record were reviewed.
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