Every finding on record at Visiting Nurse Association of Englewood, Inc

It is required that each patient’s individualized written plan of care: identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) Clinical records reviewed, the agency did not ensure that all problems identified on the nursing assessment were included in the plan of care. CLINICAL RECORD 7: The initial nursing assessment dated 12/30/2023 noted that the patient had a problem with inhalation of food and vomit due to dysphagia and had developed pneumonitis prior to hospice admission. The initial plan of care dated 12/30/2023 did not reflect any interventions that addressed the problem of dysphagia. During an interview and record review on 1/23/2024 with the Vice President of Hospice, she stated that she would expect dysphagia to be included in the plan of care with interventions addressing the problem.