Riverspring Chha / Elderserve Chha

The agency failed to ensure that all patients receive services as documented in their individualized plan of care.

The agency failed to ensure the right of each patient to receive all services as outlined in each patient's plan of care.

The agency failed to ensure any revision to the plan of care must be communicated to the patient or representative.

The agency failed to ensure a completed discharge summary.

The agency failed to ensure the encoded OASIS (The Outcome and Assessment Information Set) assessments accurately reflect each patient's status at the time of the assessment.

The agency failed to ensure all patients receive services as documented in their individualized plan of care.

The agency failed to coordinate care delivery to meet the patient's needs.

The agency failed to ensure all paraprofessionals receive a complete home health aide plan of care when providing patient care.

The agency failed to ensure that the assessment of the patient's current health status is accurate.

The agency failed to ensure that all medications were reviewed and accurately documented in each patient's plan of care.

The agency failed to ensure each patient's individualized plan of care include all the required information.

The agency failed to ensure that drugs are administered in accordance with physician orders.

The agency failed to provide pertinent instruction related to the patient's care.

The agency failed to ensure there is ongoing interdisciplinary assessments with accurate patient’s health status.

The agency failed to ensure all home health aide receive onsite supervision every 14 days.

The agency failed to ensure all encoded OASIS assessments accurately reflect each patient's status at the time of the assessment.

The agency failed to ensure that all patients receive services as documented in their individualized plan of care.

The agency failed to ensure all patients have an accurate comprehensive assessment.

The agency failed to ensure that comprehensive assessments include a review of the patient's medication.

The agency failed to ensure a Discharge OASIS was completed for all patients.

The agency failed to ensure each patient has an accurate individualized plan of care.

The agency failed to ensure that medication, and treatments are administered as ordered by the physician for each patient.

The agency failed to ensure that the physician is notified of changes in the patient's condition that require a change in the plan of care.

The agency failed to ensure revised plan of care reflect current information from the patient's updated comprehensive assessment.

The agency failed to communicate with physician regarding patient's discharge.

The agency failed to provide services that are ordered by the physician as indicated in the plan of care.

The agency failed to ensure ongoing communication with physician is maintained.

The agency failed to ensure the Emergency preparedness plan included a documented , facility -based and community based risk assessment utilizing an- all hazards approach.

The agency failed to ensure all patients have documented individualized emergency preparedness plans included in their comprehensive patient assessments.

The agency failed to ensure the emergency preparedness plan includes the use of volunteers , or other emergency staffing strategies.

Based the Agency's Emergency Preparedness Plan the agency failed to ensure the development of a policy including procedures for a communication plan complying with Federal and State laws during an emergency.

The agency failed to ensure two (2) exercises a year were conducted to test the agency's emergency plan.

The agency failed to ensure all encoded Oasis assessments accurately reflects the patient's status at the time of the assessment.

The agency failed to ensure all comprehensive assessments accurately reflect the patient's status.

The agency failed to ensure all patients receive home health services as documented in their individualized plan of care and the physician is notified of any changes.

The agency failed to ensure there are written patient care instructions for all home health aides providing patient services.

The agency failed to ensure the contact information for the administrator was included.

The agency failed to ensure all Notification of Financial Liability and Service Plan of Care consent forms document accurate service information and patients are notified of any service changes.

The agency failed to ensure the New York State Department of Health Regional office address was included.

The agency failed to ensure the contact information for the Federally - funded and state funded agencies that are in the area where the patients reside.

The agency failed to ensure patients were informed of the right to have access auxiliary aids and language services to help them understand information provided and how to access these services.

The agency failed to ensure all documented complaints document all required information including resolutions.

This agency failed to ensure each patient's individualized plan of care included all the required information.

The agency failed to ensure all clinicians coordinate care delivery to meet the patient's needs and involve the patient and the patient's caregivers. this was evident for one (1) of seventeen (17) clinical records reviewed.

The agency failed to ensure there is ongoing interdisciplinary assessments for patients receiving nursing and rehabilitation services.

The agency failed to ensure all personnel are qualified to provide patient care.

The agency failed to ensure discharge summaries were completed and sent to the physician for all patients discharged from the agency.