Jefferson Community Health & Life Home Health

The agency failed to include patient specific interventions and/or treatments on the plan of care for 2 of 7 (Patient 3 and 5) patient records reviewed.

Staff interview the agency failed to notify the physician to obtain orders to extend therapy services beyond the original duration identified on the plan of care for 1 of 1 (Patient 2) patient who received therapy services.

The agency failed to ensure the patient's progress towards the agency and patient identified goals were included on the revised/updated plan of care for 3 of 3 patients (Patient 1, 3, and 4) who had a revised/updated plan of care.

The agency failed to notify the patient's physician when visits were not conducted as ordered on the plan of care for 4 of 7 clinical records reviewed (Patient 2, 3, 4, and 5).

The agency failed to include the patient's progress towards the agency and patient identified outcomes and goals in the revised/updated plan of care for 3 of 3 patient records reviewed who had a revised/updated plan of care (Patient 3, 5, and 6).

The agency staff failed to follow the agency policy and procedure to keep the patient's physician informed and involved, and to allow the physician to make potential changes to the plan of care after patient reported falls, for 2 of 4 patient records reviewed (Patient 1 and Patient 3).The total…