Vna Community Healthcare, Inc

The agency nurse failed to ensure coordination of wound care and preventive measures with the patient, family, physician and other providers to ensure proper wound treatment, obtain the necessary pressure-relieving surfaces and prevent further skin breakdown.

For one of three patients (Patient #1) who required wound care, the agency failed to ensure comprehensive policies and procedures on wound identification and/or numbering, for the purpose of tracking wound progress and/or deterioration, and develop appropriate measures and treatments.

The agency Governing Body failed to provide oversight of the nursing services, clinical record documentation, conformance with the physician's orders and the coordination care offered to the patient and family, in order to promote wound healing and prevent the development of further pressure ulcers.

The agency failed to ensure comprehensive policies and procedures on wound identification and/or numbering, for the purpose of tracking wound progress and/or deterioration and develop appropriate measures and treatments.

The agency Governing Body failed to provide oversight of the nursing services, clinical record documentation and the coordination care offered to the patient and family.

The agency failed to ensure accuracy of the information of the physician ordering the home care services, in order to ensure the continuity of care and failed to provide accurate and consistent identification and/or numbering of wound in the nursing documentation, to facilitate the tracking of…

The agency nurse failed to ensure coordination of wound care and preventive measures with the patient, family and the physician.

The agency nurse failed to provide information and education on wound care and preventive measures to the patient and family.

The agency nurse failed to provide wound care, assessments, education and prevention in accordance with the physician's orders.

The agency nurse failed to provide information and education on wound care and preventive measures to the patient and family.

The agency nurse failed to ensure ongoing and timely communication with the physician on the need for specific durable medical equipments and the patient's lack of adherence with the plan of care.

The agencyAdministrator failed to provide oversight of the nursing services, clinical record documentation, conformance with the physician's orders and the coordination care offered to the patient and family, in order to promote wound healing and prevent the development of further pressure ulcers.