Otsego Snf Operations Associates, LLC

The agency failed to ensure in one of one records reviewed (Patient # 3) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

The agency failed to ensure in one of seven records (Patient # 5), that professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in seven of seven patient records (Patient # 1, 2, 3, 4, 5, 6 and 7).

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

The agency failed to ensure in one out of eight records (Patient # 4) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

The agency failed to ensure in two out of eight records (Patient # 3, 6) that professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

The agency failed to ensure a complete physician Plan of Care (POC) was developed to meet the individualized needs of the patient in six out of eight records (Patient # 1, 2, 3, 4, 5, 6).

Failure to ensure care is provided in accordance with the POC has the potential to result in incorrect care being provided, unmet patient needs and possible negative outcomes.

Staff interview the hospice failed to ensure in one out of one records of a patient discharged after 01/13/18 (Patient # 7) that a comprehensive discharge summary was prepared that contained all required components.