Senior Care at Home, Inc

In 73 of 95 assessments submitted for the last 12 months, the Agency failed to submit all timely reports, resulting in a warning.

In 2 of 7 (Pts. #1 and 2) clinical records reviewed, the Agency failed to ensure the Physician reviewed and signed the initial POC, as required by the Agency.

In 1 of 1 (Pt. #7) clinical record reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure that written Pt. care instructions were provided to the Home Health Aide.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Administrator.

In 5 of 7 (Pts. #1, 2, 7, 3, and 6) clinical records reviewed, the Agency failed to ensure a referral was obtained to initiate service or that the initial assessment visit was done within 48 hours of receipt of the referral.

In 5 of 7 (Pts. #1, 2, 7, 3 and 6) clinical records reviewed, the Agency failed to ensure staff provide treatment or service, as ordered by the Physician.

In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to ensure there was coordination of care between care providers to ensure Pt. needs were met.

In 1 of 1 (Pt. #7) clinical records reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure the RN conduct Home Health Aide supervision every 14 days.

In 4 of 7 (Pts. #2, 7, 3 and 4) clinical records reviewed, the Agency failed to ensure the clinical record was complete and accurate, and that clinical notes included documentation relative to the services provided.

The Agency failed to conduct or participate in a full scale community based or Agency based testing every 2 years.

The Agency failed to ensure that the physician or allowed practitioner reviewed and approved the PsOC every 60 days, after the SOC date.

The Agency failed to provide services as ordered by the Physician in the POC.

The Administrator failed to ensure that skilled nursing and other therapeutic services were under direct supervision in the absence of the Agency Supervisor.