Visiting Nurse Service Association of Schenectady County, Inc.

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in two out of sixteen records (Patient # 1, and 13).

The agency failed to ensure in two of two records reviewed (Patient # 3 and 9) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in fifteen of sixteen patient records reviewed (Patient # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15 and 16).

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

The agency failed to ensure professional staff made an onsite visit to the patient's home every two weeks to supervise the home health aide (HHA) in one out of one record (Patient # 1) of a patient receiving paraprofessional aide services reviewed.

The Governing Body (GB) failed to ensure the agency accepted patients on the basis that the patient's medical, nursing, rehabilitative and social needs could be met.

Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in three out of six records (Patient # 1, 2, 6).

The Governing Body (GB) failed to ensure responsibility of the agency's management and operations and the provision of the quality of home health services provided.

The agency failed to ensure a comprehensive Plan of Care (POC), based on interdisciplinary assessments, was developed to meet the individualized needs of the patient that included patient specific measurable outcomes and goals identified by the agency and patient in five out of six records (Patient…

The agency failed to ensure verbal orders are put in writing and sent to the physician for authentication in one out of six records (Patient # 1).

Failure to notify the physician of changes in the patient's condition or needs that indicate the POC may need to be altered has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure coordination of all services ordered by the physician to assist in the development of a comprehensive Plan of Care (POC) that identifies the patient's needs and establishes goals at admission in five out of five records of patients ordered to receive services from…

The agency failed to ensure adequate supervision of the Licensed Practical Nurse (LPN) staff in two out of two records of patients receiving care by the LPN (Patient # 1, 3) Failure to adequately supervise LPN staff has the potential to result in the provision of inappropriate and/or incorrect care…