Girling Health Care of New York

The Administrator/Director of Patient Services and the Vice President of Clinical Quality were interviewed and did not provide an explanation for the findings.

The Administrator/Director of Patient Services and the Vice President of Clinical Quality were interviewed and did not provide an explanation for the findings.

The governing authority failed to ensure that treatments are provided as ordered.

The agency failed to ensure completion of a comprehensive assessment to accurately reflect the patient’s current health status.

The agency failed to ensure comprehensive assessments are updated and revised within 48 hours of the patient’s return to the home from the hospital admission.

The agency failed to ensure all orders are recorded in the plan of care.

The agency failed to ensure coordination of care delivery and involve the patient, representative, and caregiver in the coordination of care activities.

The agency failed to ensure the Home Health Aide follows the paraprofessional plan of care for completion of assigned tasks.

The agency failed to ensure all encoded OASIS (Outcome and Assessment Information Set) assessments accurately reflect each patient's status at the time of the assessment.

The agency failed to ensure all complaints are logged, tracked and investigated.

The agency failed to ensure the comprehensive assessment accurately reflect the patient's status.

The agency failed to ensure all patients receive home health services as documented in their individualized plan of care.

The agency failed to coordinate care delivery to meet the patient's needs.

The agency failed to ensure all paraprofessionals receive a complete written home health aide plan of care with instructions when providing patient care.

The agency failed to ensure an accurate and comprehensive review of each patient's medications is conducted.

The agency failed to ensure each patient's individualized plan of care is complete and includes all the required information.

The agency failed to ensure that all treatments, drugs, and services are ordered by a physician for each patient.

The agency failed to ensure there is a continual involvement of all skilled professional staff involved in the patient's plan of care.

The agency failed to ensure all Registered Nurses (RN)/ (SN) (skilled nurses) clinical notes are complete and accurately document the care provided.

The agency failed to ensure that all home health aides providing services to patients receiving skilled services are supervised no less frequently than every fourteen (14) days.

The agency failed to ensure supervisory visits of the home health aide includes an evaluation of the elements in the plan of care.

The governing authority failed to ensure that comprehensive assessment must accurately reflect the patient’s status.

The governing authority failed to ensure that treatments are administered only as ordered by a physician.

The governing authority failed to ensure prompt alert to physician to any changes in the patient’s condition.

The governing authority failed to ensure all Registered Nurses prepare that accurately documents clinical notes the patient's health status.

The skilled nurse failed to follow accepted standards of infection control practices during wound care.

The agency failed to develop comprehensive and individualized Plans of Care.

Staff interviews the agency failed to ensure that all Skilled Nursing wound services ordered by physicians and documented on the Plan of Care were provided to all patients and in accordance with agency wound assessment procedure.

The agency failed to ensure the Skilled Nurse (SN) provided the patient/family with appropriate education regarding the wound care.

The agency failed to ensure ongoing communication with all physicians is maintained.

The governing authority failed to ensure that all patient care orders, including verbal orders, must be recorded in the plan of care.

The governing authority failed to ensure that all clinicians coordinate care to meet the patient's needs and involve the patient.

The governing authority failed to ensure that the skilled professionals are providing services that are ordered by the physician as indicated in the plan of care.

The governing authority failed to ensure that the home health aide provides services that are ordered by the physician and included in the plan of care.

The agency failed to ensure all encoded Oasis assessments accurately reflects the patient's status at the time of the assessment.

The agency failed to ensure the complete investigation and resolution of all patient complaints.

The agency failed to ensure that all patients received the care that is written in the individualized Plan of Care.

The governing authority failed to ensure the complete maintenance of all complaint logs including the investigative findings, resolution dates, and response to the complainants.

The agency failed to accurately assess and document the patient's current health status and provide a complete picture of the patient's status to assist in developing the patient's plan of care.

The agency failed to ensure each patient's individualized plan of care is complete, accurate and includes all the required information.

The agency failed to ensure that treatments are administered as ordered by a physician for each patient.

Staff interview the agency failed to ensure all clinicians coordinate care to meet the patient's needs and involve the patient.

The agency failed to ensure all Registered Nurses (RN)/ (SN) (skilled nurses) clinical notes are complete and accurately document the care provided.

The agency failed to ensure ongoing communication with the physician is maintained.

The agency failed to ensure all comprehensive assessments accurately reflect the patient's status This was evident for two (2) of three (3) clinical records reviewed (Patient: #1 and #3).

The agency failed to ensure a complete plan of care was developed to meet the individualized needs of the patient.

The agency failed to ensure that home health aides perform tasks documented in the aide plan of care.

The agency failed to ensure the release of patient information and clinical records as permitted.

Please refer to your individualized plan when creating your family's emergency disaster plan." The surveyor asked to see the patients disaster plans; but was not provided with the emergency disaster plan.

The agency failed to ensure all encoded Oasis assessments accurately reflects the patient's status at the time of the assessment.

The agency failed to ensure the complete investigation and resolution of all patient complaints.

The agency failed to ensure all comprehensive assessments accurately reflect the patient's status This was evident for two (2) of seventeen (17) clinical records reviewed (Patient: #10, and #12).

The agency failed to ensure that all patients received the care that is written in the individualized Plan Of Care.

The agency failed to ensure the contact information for the administrator was included.

The agency failed to ensure that the contact information for the Federally - funded and state funded agencies that are in the area where the patients reside.

The agency failed to ensure that the patients were informed of the right to have access auxiliary aids and language services to help them understand information provided and how to access these services.

The agency failed to ensure that the comprehensive assessments were completed for all patients no later than 5 days after the start of care (SOC).

Staff interviews the agency failed to ensure that all patient's medications were reviewed and accurately reflected in the patient's plan of care.

The agency failed to ensure that the comprehensive assessments were updated within the last five (5) days of the sixty day (60) certification period for all patients.

The agency failed to ensure a Discharge OASIS (Outcome Assessment) was completed in timelly manner for all patients.

This agency failed to ensure each patient's individualized plan of care included all the required information.

The agency failed to ensure that treatments are administered as ordered by the physician for each patient.

The agency failed to ensure that verbal orders were signed and dated by the physician.

The agency failed to ensure all Home Health Aides (HHA) are supervised no less frequently than every two weeks This was evident for one (1) of seventeen (17) clinical records reviewed (Patient: #14).

The agency failed to ensure discharge summaries were completed and sent to the physician within allowed time frame for all patients discharged from the agency This was evident for three (3) of five (5) discharged clinical records reviewed (Patients: #11, #12, and #17).