Visiting Nurse Services, Inc of So Ct

The agency nurses failed to provide a necessary assessment.

The agency failed to notify the patient's health care provider of a change in a patient's condition.

The agency nurses failed to pre-pour medication in accordance with the physician's order.

The agency nurses failed to complete assessments: The findings include: Patient #12 had a start date of 10/9/21 and a diagnosis that included Type II Diabetes Mellitus, Cellulitis on Left finger, Peripheral Vascular Disease, Atrial Fibrillation Hypertension and End Stage Renal disease.

3 and 4) who did not receive medications as prescribed by the physicians, the agency failed to conduct a comprehensive investigation and an appropriate root cause analysis with preventive measures to prevent agency-wide recurrences when the agency was made aware of the incidents in May 2019. As a…

The agency nurses failed to follow the agency existing policies on medication reconciliation, the agency failed to develop a safe system for reconciling the nursing medication administration against current physician's orders, and the agency failed to develop policies or procedures on the…

3 and 4) who did not receive medications as prescribed by the physicians, the agency failed to conduct an appropriate root cause analysis with preventive measures to prevent agency-wide recurrences when the agency was made aware of the incidents in May 2019. As a result, additional patients…

The agency nurses failed to follow the agency existing policies on medication reconciliation, the agency failed to develop a safe system for reconciling the nursing medication administration against current physician's orders, and the agency failed to develop policies or procedures on the…

The agency nurses failed to ensure the clinical records were legible, accurate and authentic; and for twenty-three of thirty patients (Patients # 25 through 28) in the survey sample, the agency failed to ensure the clinical record included the Medication Administration Records (MAR).

The agency nurses failed to transcribe, administer, pre-pour and document medications in accordance with the physician-certified plan of care.

The agency nurses failed to obtain consent from the patients in accordance with the agency's policy.

The agency nurse failed to promptly notify the physician of the change in the patient's condition.

The agency nurse failed to obtain from the physician a clarification of the patient's plan of care.

The agency nurses failed to provide the necessary assessments.

The agency nurse failed to provide education on diabetes mellitus and associated insulin use to the patient and/or family.

The agency professional staff failed to appropriately document the discharge process.