Kaizen Home Care, Inc

The agency failed to include objectively measurable goals in the Plan of Care to determine the patient's progress towards obtaining the goals in 2 of 7 records (P-6, P-7) reviewed.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient’s current health status leading to home care needs in 1 (P-3) of 7 records reviewed, resulting in incomplete clinical information to aid in determining the needs of the patient.

The agency failed to ensure the comprehensive assessment included a review of all medications the patient was currently taking to identify significant drug interactions in 2 (P-3 and P-4) of 7 records reviewed potentially resulting in unidentified harmful medication side effects or interactions.

The agency failed to ensure clinical notes were accurate for 1 (P-3) of 7 records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.