Nightingale Visiting Nurses

The agency failed to implement an emergency preparedness training program for new employee orientation and annually thereafter, based on an emergency plan for four (Certified Occupational Therapy Assistant [COTA}#1, Home Health Aide [HHA] #1, Licensed Practical Nurse [LPN] #1, and Physical…

The agency failed to ensure that all entries were legible, clear, complete, and appropriately authenticated, dated, and timed for 3 patients (#1, #7, and #5), out of total sample of 17 patients.

The agency failed to provide proper written notice, in advance of the HHA reducing or terminating on-going care, for 2 patients (#6 and #7), out of a total sample of 17 patients.

The agency failed to ensure that the initial assessment visit was held either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner ordered start of care date, for 3 patients (#1, #6 and #7), out of a total sample of 17 patient.

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the home health agency (HHA) within 5 business days of the patient's…

The agency failed to ensure that for one patient (HV#2) accepted standards of practice were followed for infection control during the patient assessment and medication count.