Love My Nurse, LLC

The home health agency failed to: 1) ensure each patient received the services ordered on the plan of care to achieve outcomes and goals for three of four records reviewed (Patient 1, 2 and 4); 2) include all pertinent diagnoses and treatments on the plan of care for two of four medical records…

The home health agency failed to: 1) ensure the Skilled Nurse Clinical Progress note was completed by a skilled professional for one of four records reviewed (Patient 1); 2) provide evidence of interdisciplinary team assessment of all patients and interdisciplinary team meetings; 3) ensure the…

The home health agency failed to ensure each patient received the services ordered on the plan of care (POC) to achieve outcomes and goals for three of four records reviewed (Patient 1, 2 and 4).

The home health agency (HHA) failed to ensure physician orders were followed for three of four medical records reviewed (Patient 1, 2 and 4).

Staff interview the home health agency failed to ensure the Skilled Nurse Clinical Progress note was completed by a skilled professional for one of four records reviewed (Patient 1).

The Home Health Agency (HHA) failed to maintain patient confidentiality when using cellular telephones and verification time sheets with multiple patient's names.

The home health agency failed to ensure a safe and appropriate transfer to a hospice agency for one of four records reviewed (Patient 1).

The home health agency (HHA) failed to include all pertinent diagnoses and treatments on the plan of care (POC) for two of four medical records reviewed, (Patient 1 and 4).

The home health agency failed to ensure all orders were recorded on the plan of care (POC) for one of four medical records reviewed (Patient 1).

The home health agency (HHA) failed to revise the plan of care (POC) to reflect current patient information for two of four records reviewed (Patient 1 and 4).

The Home Health Agency (HHA) failed to coordinate all areas of care for one of four patients (Patient 2).

The home health agency failed to provide documented evidence of interdisciplinary team assessment of all patients and interdisciplinary team meetings . This deficient practice has the potential to place patients at risk for unmet care needs and services.

The Home Health Agency (HHA) failed to ensure all physician ordered services were provided for three of four patients (Patient 1, 2, and 4) reviewed.

The Home Health Agency (HHA) failed to prepare clinical records and document all Skilled Nurse (SN) activities of every visit for three of four patients (Patient 1, 2, and 4) reviewed.

The Home Health Agency (HHA) failed to implement a Quality Assurance and Performance Improvement (QAPI) program involving all professional staff.

The Home Health Agency (HHA) failed to ensure the Registered Nurse (RN) supervised the performance and responsibilities of the Licensed Practical Nurse (LPN) for two of four records reviewed (Patient 1, 2,) and failed to specify who was supervised for one of four records reviewed (Patient 4).