Elite Home Health

The Agency failed to complete the initial assessment within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner-ordered start of care date for 2 (#8 and #10) of 17 (#1 - #17) clinical records reviewed.

The Agency failed to include all medications the patient was currently using during a review of the patients' medication regimen in 4 (#1, #10, #12, and #13) of 17 (#1 - #17) clinical records reviewed.

The Agency failed to follow Physician orders for administering medications and treatments for 1 (#14) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to alert the Physician of relevant assessment findings which may have necessitated an alteration in the Plan of Care (POC) in 1 (#15) of 17 (#1-#17) Clinical Records reviewed.

The Agency failed to ensure medical equipment was ordered and delivered timely for 1 (#8) of 17 (#1 - #17) clinical records reviewed.

The Registered Nurse failed to ensure the Plan of Care contained interventions for complete assessments (See G 706); failed to ensure care and services were provided per the Physician ordered Plan of Care (See G 710); failed to supervise and direct patient care and assessments performed by a…

The Agency failed to have a Clinical Manager provide oversight for all patient care and staff assignment (See G 958 and G 960); Clinical Manager failed to ensure the coordination of care (See G 962).

The agency staff failed to follow accepted professional standards for infection control in one (#16) of 7 (#11, #12, #13, #14, #15,#16, #17) home visits conducted.

The Clinical Manager failed to evaluate patient information and ensure coordination of care to meet the patient needs in 4 (#1, #2, #13 and #14) of 17 (#1 - #17) Clinical Records reviewed.

The Registered Nurse (RN) failed to ensure the Plan of Care (POC) contained interventions for complete assessment of patient status and attainment of goals in 2 (#1 and #2) of 17 (#1-#17) Clinical Records reviewed.

The Agency failed to provide care in accordance with the written Plan of Care (POC) in 4 (#1, #2, #12 and #17) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to provide Registered Nurse (RN) supervision of the Agency's Licensed Practical Nurses (LPN) in 3 (#1, #2, #12) of 17 (#1 - #17) Clinical Records reviewed where the LPN was regularly conducting home visits, performing patient assessments and writing Physician orders to change the…

The Clinical Manager failed to assign a Registered Nurse (RN) to assess patients after a status change was reported by other disciplines in 2 (#1 and #2) of 2 (#1 and #2) patients with significant decline in condition.

The Clinical Manager failed to coordinate patient care by ensuring nurses performed a complete assessment of the patients status and failed to have a Registered Nurse (RN) assess patients after a status change was reported by other disciplines in 2 (#1 and #2) of 17 (#1 - #17) Clinical Records…