Nightengale of Chicago Inc.

The Agency failed to establish policies and procedures based on the Agency’s identified risk assessment.

The Agency failed to conduct and document staff training related to the Agency’s Emergency Preparedness Plan.

The Agency failed to ensure that the Emergency Preparedness plan was tested and /or activated and documented, as required.

In of 64 of 73 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

In 3 of 7 (Pts. #4, 5 and 6) clinical records reviewed, the Agency failed to ensure that services were provided as ordered in the POC.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Administrator.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7), clinical records reviewed, the Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

In 7 of 7 (Pts. # 1,2, 3,4, 5, 6, and 7) clinical records reviewed, the Agency failed to ensure the Pt./representative was informed in writing of the services to be provided and the frequency of visits.

In 4 of 7 (Pts. #4, 5, 2,and 7) clinical records reviewed, the Agency failed to ensure the initial assessment was done within 48 hours upon receipt of a referral.

In 6 of 7 (Pts. #1, 2, 3, 4, 5 and 6) clinical records reviewed, the Agency failed to assess the need for Pneumonia and/or Influenza vaccines of Pts.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Agency Supervisor/Director of Nursing.

In 3 of 3 (Pts. #5, 6, and 7) closed/discharged clinical records reviewed, the Agency failed to ensure the Physician was sent a copy of the discharge summary.

The Agency failed to provide SN, PT, and OT services as ordered by the Physician.

The Agency failed to ensure informed consents contained the disciplines that will furnish care and the frequency of visits.

The Agency failed to ensure the PsOC were signed by the Physician or allowed practitioner within 60 days.

The Agency failed to ensure that services and treatments are administered only as ordered by a physician.

The Agency failed to ensure that the physician reviewed and approved the PsOC every 60 days, after the SOC date.