Elara Caring

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 2 of 4 sampled patients with home observation visits.

The agency failed to provide medications, treatments or services only as ordered by the physician for 2 of 3 sampled patients with wounds.

The agency failed to report changes in patient clinical findings or changes in patient needs to the physician for 1 of 4 sampled patients with home observation visits.

The agency failed to ensure 6 of 11 sampled home health aides (Staff E, Staff F, Staff G, Staff H, Staff I, and Staff J), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 5 sampled patients (Patient #1) with home health aide services, had…

The agency failed to provide individualized and specific written patient care instructions from a registered nurse to agency home health aides for 1 of 5 sampled patients receiving home health aide services (Patient #1).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including supplies and equipment used by the patient to meet his/her needs and an accurate list of the patient's current medications for 4 of 4 sampled patients (Patients #1, #2, #3 and #4) with a…

The agency failed to ensure agency staff coordinated the delivery of care in a way to meet patient individualized needs for 1 of 4 sampled patients (Patient #3) with a home visit observation.

The agency failed to ensure skilled professional staff involved in the patient's plan of care completed an ongoing interdisciplinary assessment for 1 of 2 sampled patients with skilled nursing and occupational therapy services (Patient #1).

The agency failed to ensure skilled nursing staff provided care as ordered by the physician in the Plan of Care for 3 of 10 sampled patients (Patients #1, #2 and #3).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 5 sampled patients (Patient #1) receiving home health aide services.

The agency failed to ensure home health aides reported patient concerns to a registered nurse for 1 of 5 sampled patients receiving home health aide services (Patient #1).

The agency failed to complete and send a transfer summary to the physician responsible for providing care to the patient after transfer to an inpatient facility within 2 business days of the patient's transfer for 4 of 5 sampled patients requiring an inpatient transfer (Patients #8, #9, #12 and…

The home health agency failed to ensure the clinical record included documentation the nurse completed or reviewed with the patient an individualized emergency plan developed as part of the comprehensive assessment for 3 of 9 sampled patients (Patients #1, #3 and #8) with a record review.

The agency failed to ensure a registered nurse or other appropriate skilled professionals in consultation with a registered nurse performed direct observation of home health aide performance of all required basic home health aide skills on a home health patient to determine satisfactory competency…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient to meet his/her needs, an accurate list of the patient's current medications and identification of any advanced directives the patient has in…

The agency failed to update the working Plan of Care with all new physician orders for 1 of 2 sampled patients with interim therapy orders.

The agency failed to provide treatments as ordered by the physician for 3 of 9 sampled patients (Patients #1, #4 and #10) with a chart review.

The agency staff failed to report changes and coordinate care with the other professional staff and the patient's physician for 1 of 1 sampled patients (Patient #10) with occupational therapy services.

The agency failed to ensure the supervision of home health aides by registered nurses maintained documentation of a review of all required supervisory elements including following the patient plan of care, communicating with patient and nursing staff, demonstrating competency of all assigned tasks…