Immanuel Home Care Services, Inc

For 1 of 3 (Pt. #8) clinical records reviewed, wherein the Pt. is receiving wound care, the Agency failed to ensure Physician orders were followed.

The Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

The Agency failed to ensure Pts. were informed in writing of the disciplines to provide care/service, and/or the frequency of visits provided by each discipline.

The Agency failed to ensure an RN performed the initial assessment within 48 hours of the Physician referral for Home Health Care services.

For 1 of 3 (Pt. #8) Pts. reviewed wherein wound care was provided, the Agency failed to ensure Plans of Care included all the requirements.

The Agency failed to assess the need for Influenza and Pneumococcal Pneumonia vaccines for 7 of 10 (Pts. # 1,3, 4, 5, 6, 7 and 9) clinical records reviewed.

For 1 of 3 (Pt. #8) clinical record reviewed, wherein wound care was provided, the Agency failed to ensure that the physician was notified regarding a change in Pt. condition.

In 10 of 10 (Pts. #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10) the Agency failed to provide information regarding the Agency Supervisor (Director of Nursing) and their contact information.

For 1 of 3 (Pt. #8) clinical records reviewed, wherein wound care was provided, the Agency failed to ensure the information contained in the clinical record was complete and accurate.

The Agency failed to complete a Discharge Summary and ensure a copy of the discharge summary was sent to the Physician.