Schoolcraft Memorial Homecare and Hospice

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status at the time of admission to home care for 6 of 7 (P-1, 2, 4, 5, 6, 7) records reviewed, resulting in incomplete clinical information to aide in determining the needs of the patient and…

The agency failed to ensure the plan of care included measurable outcomes and goals for 4 of 7 (P-1, 2, 4, 7) records reviewed, resulting in the potential for poor patient outcomes due to a lack of quantifiable measures to determine progress towards goals for these patients.

The agency failed to ensure skilled professionals provided services as ordered by the physician in the plan of care for 1 of 7 (P-7) records reviewed, resulting in the potential for poor patient outcomes for this patient.

The agency failed to ensure an onsite supervisory visit was conducted at least every 14 days for 1 of 3 (P- 4) records reviewed with aide services, resulting in a lack of supervision and oversight of aide services for this patient.

The agency failed to ensure the clinical record contained completed assessments and visit notes for 1 of 7 (P-6) records reviewed, resulting in a lack of information for the physician and all agency staff caring for the patient.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs…

The agency failed to ensure the Plan of Care included objectively measurable and individualized goals in 5 of 7 records reviewed (MR#s 1, 3, 5, 6, and 7); patient specific and individualized orders based on referral and assessment of needs in 3 of 7 records reviewed (MR #1, 3 and 4); and safety…

The agency failed to document actual blood sugar results for Diabetes Type 2 patient's in 3 records, from a total of 7 sampled records reviewed (MR's # 1, 5 and 6) and failed to provide nursing services in accordance with the plan of care in 3 of 7 records reviewed (MR #1, 3 and 4), resulting in…

The registered nurse failed to perform supervision of the Home Health Aide while on-site in the patient's home in 2 of 4 records reviewed in which Home Health Aide services were provided (MR #1 and #3) out of a total of 7 records reviewed, resulting in ineffective home health aide supervision.