Green Meadows Home Health Care, Inc

The agency failed to attempt to reschedule, inform, and advise/educate patient/caregiver on impacts of missed visits on three of five sampled patients (Patients 1, 3, and 5).

The agency failed to ensure the comprehensive assessment was completed in a timely manner, consistent with the patient's immediate needs, but no later than five calendar days after the start of care for one of five sampled patients (Patient 1 ).

The agency failed to ensure the comprehensive assessment was completed within the last five days of every 60 days for one of five sampled patients (Patient 3).

The agency failed to ensure to follow the physician's orders for two of five sampled patients (Patients 1 and 5).

The agency failed to ensure communication was conducted with the physician involved in the plan of care related to PT evaluation for one of five sampled patients (Patient 1).

The agency failed to ensure the written visit schedule was provided and consistent with the patient's most current plan of care for one of five sampled patients (Patient 2).

The agency failed to ensure the clinical notes were accurate and complete for one of five sampled patients (Patient 1).

The agency failed to ensure care and services were provided as per the POC for two of three sampled patients (Patients 1 and 2).

The agency failed to ensure the initial comprehensive assessments were completed no later than five calendar days after the SOC, consistent with the patients' immediate needs for two of three sampled patients (Patients 1 and 3).

The agency failed to ensure the review of the medications included the patient's current medications to identify any potential adverse effects and drug reactions for one of three sampled patients (Patient 1).

The agency failed to ensure the patients received care and services as per the written POCs for two of three sampled patients (Patients 1 and 2).

The agency failed to ensure the physician was notified promptly related to the changes of conditions for one of three sampled patients (Patient 2).

The agency failed to ensure effective communication with the patient's physician for one of three sampled patients (Patient 1).

The agency failed to ensure the services were integrated in the POCs for two of three sampled patients (Patients 1 and 2).