Ready and Willing 2 Help Healthcare LLC

The agency failed to ensure a discharge summary containing necessary medical information pertinent to the patient’s care had been provided to the healthcare practitioner and receiving agency, ensuring safe transfer and discharge of care for 10 of 10 patients discharged from care.

The agency failed to ensure access controls preventing unauthorized access to patient records and failed to automatically terminate access to a former employee, allowing deletion of patient records and unauthorized access for 1 of 1 agency.

The agency failed to investigate and document complaints for 1 of 1 patient complaints reviewed.

The agency failed to investigate and document complaints and resolutions for 1 of 1 patient complaints reviewed.

The agency failed to ensure a comprehensive OASIS discharge assessment had been completed for 10 of 10 discharged patient records reviewed.

The agency failed to discuss changes to the patient’s POC regarding early discharge with the patient’s responsible physician for 10 of 10 discharged patients.

The agency failed to ensure a discharge summary was written and sent to the primary care physician who is responsible for the patient's care after discharge within 5 business days of the patients discharge for 10 of 10 discharged records reviewed.

The agency failed to ensure the comprehensive assessments accurately reflected the patients’ current health, psychosocial, and functional status in 4 of 10 active records reviewed.

The agency failed to ensure the POC was individualized and included all medications, reasons for why the patient takes the as needed medication, all pertinent diagnoses, DME and supplies, and nutritional requirements for 8 of 10 active clinical records reviewed.

The agency failed to ensure they coordinated care and documented the coordination with other agencies providing services to patients for 1 of 1 active clinical record reviewed (Patient #1) with a patient on Dialysis (a treatment used to remove waste and excess fluid from the blood when the kidneys…