Southeast Homecare

The HHA failed to establish an individualized Plan of Care for 1 of 3 sampled patients as evidenced by the lack of documentation of the physician's ordered Plan of Care in the patient's record (Patient #3).

The Home Health Agency (HHA) failed to provide Home Health Aide services to 1 of 3 sampled patients (Patient #1).

The HHA's Director Of Nursing (DON) failed to oversee the coordination of services to assure the provision of care ordered by the patients' physician for 2 of 3 sampled patients (Patient #1 and #3).

The HHA failed to ensure the accuracy of the patient's records for 1 of 3 sampled patients as evidenced by the lack of documentation/evidence of the "Physician Plan of Care, lack of documentation/evidence of the Skilled Nurse (SN)'s "Start of Care Assessment; lack of documentation the MSW (Medical…

The HHA (Home Health Agency) failed to communicate discharge plans to 3 of 3 sampled patients before they were discharged (Patient #1, #2 and #3).