Angels Care Home Health of Oklahoma

The agency failed to ensure an Emergency Preparedness Communication Plan included current employee contact information for the agency for all patients and 51 employees.

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted in 05/12/23 to 12/31/23 and calendar year 2024 for all patients and 51 employees.

The agency failed to ensure completion of a transfer summary for one (Patient #4) of 20 patients.

The agency failed to ensure patients were advised orally and in writing of charges for services before care is initiated for 20 (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 and #20) of 20 patients.

The agency failed to ensure notification to the physician prior to discharge for three (Patients #17 and #18) of 20 patients.

The agency failed to ensure advance beneficiary or home health change of care notices prior to discharge from agency services were provided to three (Patients #17, 18 and #20) of 20 patients.

The agency failed to ensure an initial assessment (evaluation) was conducted within 48 hours (2 days) of referral for two (Patients #1 and #2) of 20 patients.

The agency failed to ensure an individualized patient POC included a SN intervention last completed and/or next intervention due date for one (Patient #14) of 20 patients.

The agency failed to ensure a physician order for SN to discontinue a PICC line for one (Patients #9) of 20 patients.

The agency failed to ensure: 1. Coordination of care with the physician after physical therapy evaluation to establish a treatment plan and visit frequency for four (Patients #5, 8, 13 and #14) of 20 patients.

The agency failed to ensure: 1. SN conduction of urinary catheter change for two (Patients #3 and #16) of 20 patients.

The agency failed to ensure clinical records were complete for eight (Patients #1, 2, 3, 4, 6, 7, 10 and #11) of 20 patients.

The agency failed to ensure a complete transfer/discharge summary was provided to the receiving service provider for eight (Patients #5, 13, 14, 15, 16, 17, 19 and #20) of 20 patients.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure conduction of ongoing patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for all patients and employees.

The agency failed to ensure governing body oversite of the conduction of a patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure the Infection Control surveillance data was included in QAPI activities for all patients and employees.

The agency failed to ensure care was coordinated between the agency and physician for two (Patients #6 and #8) of 13 patients.

The agency failed to ensure services were provided as ordered for: SN to conduct visit frequency as ordered by the physician for five (Patients #1, 4, 7, 8 and #9) of 13 patients;SN to conduct wound site assessment every visit for one (Patient #3) of 13 patients;SN to conduct weight assessment…

The agency failed to ensure PT visit notes were completed for one (Patient #3) of 13 patients.

The agency failed to ensure a transfer/discharge summary was provided to the receiving service provider for three (Patient #11, 12 and #13) of 13 patients.