Visiting Nurse Health System, Inc

The agency failed to assure communication with all physicians involved in the plan of care for two of six (#3 and #6) sampled patients.

The agency failed to provide services as ordered by the physician in the plan of care for two of six (#3 and #6) sampled patients.

The personnel furnishing services failed to perform home health aide supervision for two of six (#2 and #6) of sampled patients.

The Condition of Acceptance of Patients, Plan of Care, and Medical Supervision was not in compliance as a result of the agency's failure to provide care and services in conformance with patients' plan of care/treatment as ordered by physicians for 10 of 20 patients (G-158), failure to include…

The Condition of Comprehensive Assessment of Patients was not in compliance as a result of the agency's failure to perform initial assessment visits within 48 hours of referral for 8 of 20 samples patients (G-332), to ensure that patients' medication profiles were updated to reflect current…

The personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care/treatment for 2 of 20 (#5, and #15) sampled patients.

The agency failed to ensure that appropriate care and services were provided in conformance with the patients' plans of care/treatment as ordered by physicians for 10 of 20 (#1,#3, #5, #7, #9 #11, #12, #15, #17, and #20) sampled patients.

The agency failed to include orders to cover all pertinent diagnoses to ensure the patients' identified needs were addressed and failed to ensure disease specific treatments/interventions were included on plans of care/treatment for 7 of 20 (#5, #11, #13, #16, #17, #18 and #19) sampled patients.

The agency failed to ensure the plan of care/treatment and verbal orders were reviewed and signed by the physician within the required 30 day time frame for 6 of 20 (#11,#12, #13, #16, #18 and #20) sampled patients.

The agency failed to ensure the clinical records contained clear, complete, and accurate documentation for 7 of 20 ( #6, #10, #11, #13, #14, #16, and #20) sampled patients.

The agency staff failed to conduct an initial assessment within 48 hours of referral or on the physician ordered start of care date for 8 of 10 sampled patients (#1, #3, #4, #5, #9, #15, #17, and #19).

The agency failed to ensure that patients' medication profiles were updated to reflect current medications for 3 of 10 (#1, #2, and #3)patients observed during home visits.

The agency failed to ensure an updated comprehensive assessment was done at the time of the patient's transfer for 2 of 4 sampled patients (#12 and #14) requiring transfer OASIS (Outcome and Assessment Information Set) assessment.