Montefiore Home

The agency failed to ensure organization, services and administration were furnished with administrative control, and lines of authority for the delegation of responsibility down to the patient care level are clearly set forth in writing and are readily identifiable (G123); failed to ensure the…

The home health agency failed to adequately meet the patient's need (G157) failed to follow a written plan of care established and periodically reviewed by a doctor (G158); failed to obtain updated orders for therapy after evaluation (G160) and failed to promptly alert the physician to any changes…

The agency failed to ensure that home health aides who provided personal care met the competency requirements to perform their duties (G212), that written patient care instructions for the home health aide was prepared and updated by the registered nurse (G224), failed to ensure the home health…

The Home Health Agency failed to furnish Comprehensive Assessment services in regard a registered nurse must conduct an an initial assessment visit to determine the immediate care and support needs of the patient; and for Medicare patients, to determine eligibility for the Medicare home health…

Staff interview the agency failed to perform emergency preparedness training.

Admission packet and policy and procedures the agency failed to investigate a complaint for one of one patient reviewed.

The agency failed to ensure the the agency's administrative control, and lines of authority for the delegation of responsibility down to the patient care level were readily identifiable by agency staff.

The agency failed to ensure the administrator demonstrated routine oversight of the agency's day to day functions related to the failure to ensure staff were trained to perform their job duties, failed to ensure plans of care, physician orders and 60 day summaries were sent to physician for review…

The agency failed to send a written summary report at least every 60 days for three of three patients reviewed whom the agency provided care over 60 days.

Agency policy and procedure review and patient and staff interviews the agency accepted two patients for care and failed to provide timely services.

The agency failed to ensure care followed a written plan of care established and periodically reviewed by a physician, included frequencies of skilled care or included all clinician services provided by the agency.

Agency policy and procedure review the agency failed to obtain updated orders for therapy patients following the evaluation by skilled therapists.

Agency policy and procedure the agency failed to notify the physician for a change of status for two patients (#1 and #9) of 12 patients reviewed for physician notification.

The agency failed to provide skilled nursing services in accordance with the plan of care and per policy.

The registered nurse failed to re-evaluate two of two patients (Patients #11 and #13) who received home health aide only services.

Agency policy and procedure review the nurse failed to follow the agency's wound dressing change policy.

The therapists failed to evaluate the patients' vital signs per facility policy, failed to notify the physician of missed visits, and delayed start of care for 4 of 5 patients who received therapy services.

The agency failed to ensure that 4 of 5 home health aides reviewed (Staff ZZ, RR, G, and GG) who provided personal care met the competency requirements to perform their duties.

The agency failed to ensure that written patient care instructions for the home health aide were prepared and updated by the registered nurse.

The agency failed to ensure that one home health aide (Staff EEE) provided services the aide was permitted to perform.

The agency failed to ensure that the registered nurse made an on-site supervisory visit no less frequently than every 60 days to two of two non-skilled patients' homes.

The agency failed to ensure the registered nurse conducted the initial assessment per facility policy.

The agency failed to ensure the initial start of care comprehensive assessment was conducted timely for two patients (#3 and #8) of 12 patients reviewed for timeliness of the initial comprehensive assessment.

The agency failed to complete an updated medication profile for three (Patient #9, #12 and #13) of four patients who the agency provided care for longer than one certification period.

The agency failed to update the comprehensive assessment for one patient who was transferred (Patient #6) and within the last five days of every 60 days beginning with the start of care date for three of eleven skilled patients reviewed.