Good Shepherd Primary Health Care LLC

The agency failed to immediately investigate after receipt of allegations of abuse, neglect and exploitation (ANE) for two of nine patients whose records were reviewed (Patients 8 and 9).

The agency failed to ensure that care provided followed the written plan of care for two of nine patients whose records were reviewed (Patient 1 and 3). - The agency nurses failed to follow the visit frequency, failed to obtain the oxygen saturation and failed to administer medication for Patient…

The Administrator failed to maintain the day-to-day operations in that: - The Administrator failed to ensure the agency maintained sufficient funds to meet its payroll. - The Administrator failed to ensure the enforcement of agency policies to confirm employees were oriented to tasks performed and…

The Administrator failed to ensure the agency employed qualified personnel for two of 14 personnel whose records were reviewed (Employee V and Attendant H) in that: - Employee V, the Employee Visit Verification (EVV) Clerk, did not meet the qualification for the position of supervisor for the…

The agency failed to ensure documentation of all clinical notes were included in the clinical record and written the day of services for two of seven patients whose records were reviewed (Patients 1 and 2).

The agency failed to ensure a transfer summary was completed and submitted to the receiving agency/facility for one of nine patients whose records were reviewed (Patient 2).

The clinical record failed to include documentation that established the coordination of patient care for two of ten patients (Patients 4 and 5) whose records were reviewed.

The agency failed to ensure that skilled nursing followed the written plan of care for one of ten patients (Patients 4) whose records were reviewed.

The agency failed to ensure the Plans of Care (POC) included treatment and activity orders for one of ten patients (Patient 3) whose records were reviewed.