Independent Home Health Care LLC

The agency failed to establish an individual plan of care that included patient-specific interventions (G572); failed to include all pertinent services, supplies, and equipment (G574); failed to establish a plan of care reviewed and ordered by a physician (G580), failed to alert the physician to…

The agency failed to ensure the plans of care (POC) were individualized for 3 of 7 active clinical records reviewed.

The agency failed to complete all sections of the plan of care for 2 of 7 active clinical records (Patients #2 and #3) and failed to complete all sections of the discharge summary for 1 of 1 patients discharged to a facility.

The agency failed to ensure the Start of Care (SOC) was completed 48 hours after the patient discharged from the hospital for 1 of 1 active clinical records reviewed with a Skilled Nurse (SN) Home visit.

The agency failed to ensure the plans of care (POC) included all necessary elements for 3 of 4 active clinical records reviewed with home visits.

The agency failed to follow physician's orders for wound care in 1 of 1 wound care observed.

The agency failed to ensure the physician was notified of a change in condition for 1 of 2 active clinical records reviewed with a change in condition.

The agency failed to ensure they included the appropriate physician and orders in the plan of care for 1 of 4 active clinical records reviewed with a home visit.

The agency failed to ensure care was coordinated with all physicians involved in patient care for 1 of 1 active clinical records reviewed who received care from a wound care clinic.

The agency failed to ensure a completed discharge summary was written and sent to the physician responsible for the patient's care after discharge within five (5) business days of the patient's discharge (Patients: #5 and #10) and within 2 days of a patient being transferred to another facility…