Mission Home Health of Irvine, LLC

The agency failed to ensure the SN visits were conducted as ordered for two of five sampled patients (Patients 1 and 4).

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs, but no later than five calendar days after the SOC date for three of five sampled patients (Patients 1, 4, and 5).

The agency failed to ensure the medication profiles were reviewed and updated to reflect the current medications for two of five sampled patients (Patients 3 and 4).

The agency failed to ensure the update comprehensive assessment at discharge was completed for one of two discharge sampled patients (Patient 2).

The agency failed to ensure the POC included specific interventions related to the patient's indwelling/suprapubic catheter and nephrostomy for one of five sampled patients (Patient 5).

The agency failed to ensure the treatment was provided only as ordered by the physician for two of five sampled patients (Patients 1 and 5).

The agency failed to ensure the verbal orders were authenticated and dated by the physician for one of five sampled patients (Patient 1) . This failure created the risk for not providing the necessary care and services to this patient.

The agency failed to ensure the coordination of care with the physician for two of five sampled patients (Patients 1 and 4).

The agency failed to ensure the SOC visit was coordinated timely for one of five sampled patients (Patient 1).

The agency failed to ensure the instructions or teachings on wound care were provided to patient/caregiver for one of five sampled patients (Patient 1).

The agency failed to ensure the skilled professionals prepared accurate clinical notes for two of five sampled patients (Patients 4 and 5).

The agency's Administrator failed to be responsible for the agency's day-to-day operations related to the implementation of organizational P&P for one of five sampled patients (Patient 1).