Silver-Spring Healthcare Services Inc

The agency failed to ensure that each patient received home health services as written in an individualized plan of care (POC) for 1 of 3 patients (#2) whose records were reviewed, in that: 1) Patient #2's POC included orders for SN 7 days per week for 9 weeks.

The agency failed to ensure the patient was informed in changes to care to be furnished for 1 of 3 patients (#2) whose records were reviewed, in that: Patient #2's POC included orders for SN 7 days per week for 9 weeks.

The agency failed to coordinate care delivery to meet the patient's needs, and involve the patient representative and caregiver(s), in the coordination of care activities for 1 of 3 patients (#2), whose records were reviewed, in that: There was no documentation in Patient #2's CR to show…

The agency failed to ensure that the skilled nurse (RN#1) reported to the agency supervising nurse her inability to assess 1 of 1 (#1) patient after patient #1 family member reported that the patient had returned home from the hospital, had a fall and required a dressing change in that RN#1…