Northern Home Care, Inc

The agency failed to ensure skilled professionals notify the physician of findings that fell outside the parameters ordered in the patient’s plan of care in 2 of 10 (P-8, 9) records reviewed, resulting in the potential for physical decline and unmet care needs for these patients.

The agency failed to ensure patients were informed of the administrator's name and phone number, resulting in the potential for patient complaints or concerns to go unaddressed which could negatively affect the quality of care for all patients serviced by this agency.

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any duplicate therapy or adverse effects, and failed to ensure the physician was notified of potential drug interactions in 3 of 10 (P-6, 7, 1) records reviewed, resulting in the potential for…

The agency failed to ensure the plan of care included appropriate interventions with objectively measurable goals specific to the individualized needs of the patient in 3 of 7 (P-6, 9, 10) records reviewed, resulting in the potential for poor patient outcomes and unmet care needs for these patients.

The agency failed to ensure patients were informed of the clinical managers name and phone number, resulting in the potential for patient concerns to go unaddressed which could negatively affect the quality of care for all patients serviced by this agency.

The agency failed to ensure physical therapy performed an assessment of the patient's health status and needs in 1 of 8 (P-2) records reviewed with physical therapy services ordered, resulting in the potential for unidentified health concerns, decline in physical functioning, and poor patient…

The agency failed to ensure the registered nurse provided services as ordered by the physician in the plan of care for 1 of 10 (P- 9) records reviewed, resulting in the potential for physical decline and unmet care needs for this patient.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 1 of 3 (P-6) discharge records reviewed, and failed to ensure a detailed transfer summary was sent to the physician for 1 of 1 (P-10) transfer records reviewed, resulting in a…

The Agency failed to conduct a patient-specific, comprehensive assessments that accurately reflected the patient's current health status, past medical history, history of events leading to home care, and ascertained the patient's immediate care needs in 8 of 10 records reviewed (MR#s 2, 3, 4, 5, 6…

The Agency (HHA) failed to ensure that all entries in the medical record were complete and legible in 6 record (MR#s 1, 2, 4, 5, 6 and 7) out of a total of 10 records reviewed resulting in difficulty deciphering the care provided during the course of care for the potential of negative patient…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable safety parameters, and objectively measurable goals specific to the needs of the patient for 8 records (MR#s 1, 2, 3, 4, 5, 6, 7 and 9) from a total sample of 10 records reviewed, resulting in patients…

The agency failed to provide education of the COVID-19 virus for 1 of 4 patients/caregivers (MR# 2) resulting in the potential spread of a contagious viral infection between agency staff and the agency's 100 current patients.

The Agency failed to ensure that nursing services were administered in accordance with the plan of care (POC)/physician's orders in 1 of 10 records with patients who received skilled nursing (SN) services, from a total of 10 sampled records (MR #6) (See G170); failed to ensure the registered nurse…

The agency (HHA) failed to ensure the plan of care covered all pertinent treatments, and interventions with reportable parameters and specified goals for 4 records, from a total of 10 records reviewed (MR's #6, 7, 8, 9), resulting in patients' not receiving care specific to their individual needs.

The agency (HHA) failed to ensure that nursing services were administered in accordance with the plan of care (POC)/physician's orders in 1 of 2 records of patients who underwent surgical procedures requiring postoperative care, from a total of 10 sampled records reviewed (MR #6), resulting in the…

The Skilled Nurse (SN) failed to re-evaluate the patient's condition and continuing needs in 3 records (MR's #1, 2, 4) in which nursing services were provided, from a total sample of 10 records reviewed, resulting in the potential for poor patient outcomes.

The Agency (HHA) failed to ensure the Skilled Nurse (SN) prepared clinical and progress notes that reflected the status of the patient and failed to coordinate services with the physician in 3 records with skilled nursing services ordered, from a total of 10 records reviewed (MR's #6, 7, 9)…

The Agency (HHA) failed to ensure written patient care instructions for the home health aides included all necessary safety precautions, frequencies in which to provide care and specific patient care instructions for 3 of 3 records with ordered Home Health Aide (HHa) services, from a total of 10…

The Agency failed to ensure a complete and accurate discharge summary was prepared for 2 of 4 discharged records reviewed out of a total sample of 10 records reviewed (MR #4, 7), resulting in the potential for unidentified health concerns and unmet care needs.

The Agency failed to ensure that an appropriate group of professionals reviewed both active and closed clinical records to determine whether established policies were followed in furnishing services, resulting in the potential for unmet care needs to all patients serviced by the agency in 2015…

The Agency (HHA) failed to ensure the comprehensive assessment documented the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 7 records, from a total of 10 sampled records reviewed (MR's #10, 8, 1, 2, 3, 4, 5)…