Sure Care Health Care Services

The visiting nurse failed to ensure care followed the written plan of care for three of 7 patients (Patients 1, 4, and 5).

The home health agency (HHA) staff failed to review all medications the patient is taking by reconciling the current medications with the medication profile for 3 out of 7 sample patients (Patients 1, 2, and 4).

The home health agency (HHA) failed to ensure prescribed wound treatments were administered and physician’s orders were obtained from the physician for three of 7 sampled patients (Patients 1, 4 and 5).

The skilled nurse (SN) failed to obtain a physician’s order for pain medication and communicate to the physician regarding patient’s change in condition for one of 7 sampled patients (Patient 4).

The visiting nurse failed to ensure patient caregiver(s) received an ongoing education and training for one of seven sampled patients (Patient 1) with an open wound.

The home health agency (HHA) nursing staff failed to develop a plan of care for Foley catheter management for two out of seven patients (#4 and #6).

Skilled nurse (SN) failed to notify the physician promptly while visiting a patient that had been identified having cloudy urine with sediments (sand like particles) in the Foley catheter for one of seven patients (#4).