Premier Home Health Care Inc

A pattern of failure by the agency to ensure skilled nursing professionals participated in the oversight of patient care and services to ensure delivery of safe care in accordance with the plan of care; failed to ensure professional nurses appropriately performed ongoing assessment and monitoring…

The Administrator of the agency, who also functioned as the Director of Nursing (DON) failed to organize, manage, and administer the agency's day to day operations in order to maintain the highest practicable functional capacity of the agency, including providing optimal care to achieve the goals…

The supervising nurse (who is also the Director of Nursing (Administrator/DON) failed to provide clinical oversight, supervision and coordination of all patient care services and personnel in accordance with requirements set forth in regulation.

The agency failed to ensure ongoing interdisciplinary assessment occurred by the Registered Nurse (RN) who failed to re-evaluate the nursing needs for 4 of 13 patients reviewed, who were receiving skilled nursing services (Patients #1, #2, #4 and #14).

The agency failed to ensure the registered nurse (RN) provided care in conformance with physician's orders and as indicated in the plan of care for 4 of 13 patients reviewed, who were receiving skilled nursing services (Patients #1, #4, #5 and #9).

The agency failed to ensure skilled professionals prepared clinical records that contained accurate and complete documentation of services provided in accordance with accepted professional standards for 3 of 14 patient records reviewed (Patients #6, #9, and #11).

The agency failed to ensure nursing professional services communicated with physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current Plan of Care for 2 of 13 patients reviewed, who were receiving skilled nursing services (Patients #1 and…

The Administrator (who is also the Director of Nursing (DON) failed to adequately and effectively organize and direct the agency's day-to-day operations.

Failed to ensure oversight of all patient care services, inclusive of patient and staff assignments in accordance with requirements set forth in regulation.

Failed to ensure patient needs were continually assessed in accordance with requirements set forth in regulation.