First Colorado Home Health Care Inc

The DON stated the agency did not have any qualified practitioners who had received specialized training in the provision of complex wound care.

The agency had failed to continually assess patients, only provide services that were authorized, ensure coordination with all healthcare providers involved in patient care in order to ensure needs were met and failed to prepare comprehensive clinical documentation to maintain a complete patient…

The agency failed to include all pertinent information on the plan of care.

The agency failed to ensure qualified practitioner's documented within the patient record and authenticated physician verbal orders via signature in 6 of 6 patient records reviewed (Patients #1, #2, #3, #4, #5 and #6).

The agency failed to ensure the plan of care had been reviewed by the physician as frequently as the patient's condition or healthcare needs required but no less frequently than once every 60 days in 3 of 5 patient records reviewed who were patients of the agency for longer than 60 days at the time…

The agency failed to ensure ongoing interdisciplinary assessment by the registered nurse (RN) who failed to re-evaluate the needs of the patient for 1 of 1 patients who received wound care (Patient #4).

The agency failed to ensure nursing professional services provided care in conformance with physician's orders and as indicated in the plan of care for 1 of 1 skilled nursing wound care patient records reviewed (Patient #4).

The director of nursing (DON) failed to ensure clinical records contained accurate documentation of pertinent past and current findings in accordance with accepted professional standards for 1 of 1 patient records reviewed who received wound care (Patient #4).

The agency failed to ensure the registered nurse (RN) communicated with all physicians involved in the plan of care and other health care practitioners (as appropriate) for 1 of 1 skilled nursing wound care patient records reviewed (Patient #4).