Penn Highlands Community Nurses

The agency failed to follow the physician's ordered plan of care for one (1) of three (3) clinical records reviewed (CR1).

The agency failed to ensure the patient's plan of care included all of the medications the patient was taking (G0570); failed to ensure professional staff alerted the physician to changes in the patient's condition that suggest the plan of care should be altered (G0590); failed to integrate all…

Skilled professionals services failed to provide ongoing interdisciplinary assessment of the patient (G0706); failed to provide services as outlined in the patient's plan of care (G0710); and failed to provide medication education to the patient (G0714).

"Chapter 15. PROTECTIVE SERVICES FOR OLDER ADULTS ADULTS ... § 15.2. Definitions. ... Neglect -- The failure to provide for oneself or the failure of a caretaker to provide goods or services essential to avoid a clear and serious threat to physical or mental health. ... Older adult -- A person…

The agency failed to ensure the patient's plan of care included all of the medications the patient was taking for one (1) of three (3) clinical records reviewed (CR1).

The agency failed to ensure professional staff alerted the physician to changes in the patient's condition that suggest the plan of care should be altered for two (2) of three (3) clinical records reviewed (CR1, & CR2).

The agency failed to integrate all services to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines for one (1) of three (3) records reviewed (CR1).

The agency failed to coordinate care delivery to meet the patient's needs for one (1) three (3) clinical records reviewed (CR1).

The agency failed to ensure the patient received medication education to ensure a timely discharge for one (1) of three (3) clinical records reviewed (CR1).

The agency failed to provide written medication instructions for one (1) of one (1) clinical record reviewed who was taking an opioid pain medication (CR1).

Skilled professionals failed to provide ongoing interdisciplinary assessment of the patient for three (3) of three (3) clinical records reviewed (CR1-CR3).

Skilled professionals failed to provide services as outlined in the patient's plan of care for one (1) of three (3) clinical records reviewed (CR1).

Skilled professionals failed to provide medication education to the patient for one (1) of one (1) clinical record reviewed who was taking an opioid pain medication (CR1).