J & C Sweet Home Care LLC

The provider failed to ensure that 1 out of 3(#3) sample patients (SP) were provided with the written notice of patients' rights, the administrator's contact information and the Outcome and Assessment Information Set (OASIS), privacy information in advanced of receiving skilled nursing services…

The provider failed to ensure that 1 out of 3(#3) sample patients(SP) received an initial assessment by a registered nurse (Refer G-514); the provider failed to ensure that a comprehensive assessment was conducted for 1 out of 3(#3) sample patients(SP) (Refer G-0520), and the failed to ensure that…

The Home Health Agency (HHA) failed to develop an individualized plan of care (G572) and failed to ensure an accurate and completed individualized plan of care (G574).

The Home Health Agency (HHA) failed to assume responsibility for the development and evaluation of the plan of care in partnership with the patient, representative (if any) (G708) and failed to prepare and record clinical notes (G716).

The Home Health Agency (HHA) failed to provide oversight of all patient care services assuring that patient needs are continually assessed (G966); the HHA failed to develop, implement, and update the individualized plan of care of the patient's immediate care needs (G968) and the staff failed to…

The provider failed to have in the clinical record comprehensive assessments, physician orders, plans of care, and all clinical notes for service rendered for 1 out of 3 (#3) sample patients (SP) (Refer G-1012)

The provider failed to develop an individualized plan of care (POC) that identifies patient-specific measurable outcomes and goals on 1 out of 3 Sampled Patients (SP).

The provider failed to ensure that 1 out of 3(#3) sample patients(SP) were provided with the written notice of patients' rights, the administrator's contact information and the Outcome and Assessment Information Set (OASIS) privacy information in advanced of receiving the skilled nursing services.

The provider failed to ensure that 1 out of 3(#3) sample patients(SP) were provided with a copy of the notice of rights and responsibilities.

The provider failed to obtain 1 out of 3 (#3) sample patients(SP) consent to participate and receive provided skilled nursing services.

The provider failed to ensure that 1 out of 3(#3) sample patients(SP) received an initial assessment by a registered nurse.

The provider failed to ensure that a comprehensive assessment was conducted for 1 out of 3(#3) sample patients(SP).

The provider failed to ensure that a review of all medications the patient was administered in 1 out of 3 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the information related to any advanced directives on 1 out of 3 Sampled Patients (SP).

The home health agency failed to provide drugs, services, and treatments only as ordered by a physician on 1 out of 3 Sampled Patients (SP).

The provider failed to coordinate care delivery to meet the patient's needs, and involve the patient, representative, and caregiver(s), as appropriate, in the coordination of care activities for 1 out 3 Sampled Patients (SP).

The skilled professionals failed to assume responsibility for the development and evaluation of the plan of care in partnership with the patient, representative for 1 out of 3 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 3 Sampled Patients (SP).

The clinical manager failed to provide oversight of all patient care services assuring that patient needs are continually assessed for 1 out 3 Sampled Patients (SP).

The clinical manager failed to develop an individualized plan of care of the patient's immediate care needs for 1 out of 3 Sampled Patients (SP).

The home health agency staff failed to provide services in accordance with current clinical practice guidelines and accepted professional standards for 1 out of 3 Sampled Patients (SP).

The provider failed to have in the clinical record comprehensive assessments, physician orders, plans of care, and all clinical notes for service rendered for 1 out of 3 (#3) sample patients (SP).