Health Services of Northern New York Inc Chha

In 3 of 7 visits (patients #1, 2, and 6), staff failed to adhere to accepted standards and practices to prevent the transmission of infection.

In 1 of 1 records for patients receiving home health aide services (patient #6) the nurse failed to develop complete and accurate aide written instructions.

In 3 of 17 records, (patients #4,16, and 17) comprehensive assessments were not of sufficient scope to ensure all patients' needs were identified.

In 2 of 17 records (patients #8 and 9), the nurse failed to develop a complete and accurate plan of care.

In 4 of 17 records (patients #5, 9, 10, and 15), the nurse failed to update the plan of care to reflect all current/ongoing ordered treatment.

For 2 of 17 patients (patients #9 and 11), the agency failed to coordinate care to meet the needs of the patients.

In 1 of 1 record for patients receiving home health aide services (patient #6) the nurse failed to ensure the aide performed duties permitted under state law and consistent with home health aide training.

For 3 out of 5 patients (# 5, 8 and 9) the registered nurse failed to develop complete and accurate aide written instructions.

In 5 out of 17 records, (patients # 2, 4, 6, 13 and 14) comprehensive assessments were not of sufficient scope to ensure that all patients' needs were identified.

In 6 out of 17 records (patients # 2, 4, 5, 7, 9 and 13) the registered nurse failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patients.

The agency did not comply with emergency preparedness (EP) training requirements for orientation of new staff and annually for established employees.

For 5 records (Patients # 3, 8, 9, 11 and 17) the reassessments were not of sufficient scope to identify the current patient needs.

The agency's policies and procedures, quality improvement (QI) trended data, and interviews with the Director of Patient Services (DPS) and Administrator, evidence was lacking the agency's QI program was of sufficient scope to identify and resolve agency wide quality of care issues.

The Skilled Nurse (SN) failed to follow accepted standards of infection control practices.

The care plan failed to include a frequency for each type of bath.

For 8 out of 17 records (Patient's # 1, 2, 5, 6, 7, 11, 14 and 16 ) the initial comprehensive nursing assessments were not of sufficient scope to ensure that all patient needs were identified.

In 6 out of 16 records, (Patients # 1, 6, 7, 8, 9 and 16) that comprehensive assessments were not of sufficient scope to ensure that all patient's needs are identified.

In 5 out of 17 records (Patients # 3, 6, 8, 11 and 16) the agency failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patients.

In 5 of 17 records (Patients # 1, 7, 11, 15, and 17) the agency failed to ensure the patient's plan of care was effectively coordinated: Evidence as follows: HV 1. Patient # 1 was admitted to the agency on 02/25/19 with a primary diagnosis of surgical after care following surgery on the…