Finger Lakes Visiting Nurse Service, Inc.

The agency failed to ensure a comprehensive wound assessment that includes wound measurements.

The agency failed to ensure a comprehensive Plan of Care (POC), based on interdisciplinary assessments, was developed to meet the individualized needs of the patients.

#15) the agency failed to ensure the physician orders for services, drugs and treatments are complete.

The agency staff failed to promptly alert the physician to any changes in the patient's condition or needs that suggests that the plan of care (POC) may need to be altered.

Based review of clinical records and interviews with agency staff for three (3) of seventeen (17) patients (Patient #6, #13, and #17), the agency failed to ensure the Registered Nurse (RN) provided the patients with appropriate education regarding the care and services identified in the Plan of…

The agency failed to provide care in accordance with the written Plan of Care (POC) and physician orders.

The Register Nurse (RN) failed to prepare and document complete and accurate clinical and progress notes.

The agency failed to ensure communication with the physician involved in the current plan of care.

#14 and #16) the agency staff failed to provide services in accordance with current clinical practice guidelines and accepted professional standards of practice.