Willcare Chha (Newburgh)

The agency failed to maintain clinical records that include accurate past and current information for all patients, and be available to the physician(s) issuing orders for the home health plan of care.

The agency failed to ensure that the clinical records contain all required items.

The Agency failed to develop complete discharge and/or transfer summaries within 5 days from discharge or 2 days from transfer and include the care provided and communication with the patient/caregiver and Physician regarding the discharge/transfer who will be responsible for providing services to…

The agency failed to ensure that services are provided in accordance with the Plans of Care (POC).

The agency failed to ensure agency policy meets NYS codes and regulations and Skilled Nursing Professionals services are delivered and supervised only by health care professionals who meet the qualifications and practice according to the agency's established policies and procedures, with regards to…

The governing authority failed to inform Patients of the services the Patient is to receive and the frequency for the services and any related charges.

The governing authority failed to inform Patients of any related charges for the services they are to recieve from the agency.

The agency failed to advise the patient and the Physician that a discharge is being considered for non compliance to psychiatric medications.

The agency failed to maintain a complaint log to document the receipt, investigation and resolution of all complaints.

The agency failed to review all medications the Patient is currently using in order to identify any potential adverse effects and drug interaction.

The agency failed to develop/revise complete and comprehensive Plans of Care.

The agency failed to promptly notify the physician of changes in patients' status which may require alteration in Plans of Care.

The Agency failed to communicate to the patient , caregiver and to the Physician any revisions related to plans for the patient's discharge and who will be responsible for providing services to the Patient after discharge from the agency.

The Agency failed to ensure coordinated care delivery to meet the patient's needs and to involve the patient.

The agency failed to document discharge planning, a completed discharge summary , and physician notification for patients no longer receiving services from the agency.

The agency failed to ensure that services are provided in accordance with the Plans of Care (POC).

The agency failed to develop/revise complete and comprehensive Plans of Care.

The agency failed to promptly notify the physician of changes in patients' status which may require alteration in Plans of Care.