Archbold Home Health Services

The agency failed to electronically transmit monthly Outcome and Assessment Information Set (OASIS) data collected to the CMS system every 30 days.

The agency failed to ensure the plans of care included specific interventions and orders for all pertinent diagnoses for seven patients (P) (P#1, P#3, P#4 P#6, P#8, P#12, P#16) of 17 sampled patients (P#1, P#2, P#3, P#4, P#5, P#6, P#7, P#8, P#9, P#10, P#11, P#12, P#13, P#14, P#15, P#16, P#17).

The personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for two patients (P) (P#13, P#15) of 17 sampled patients (P#1, P#2, P#3, P#4, P#5, P#6, P#7, P#8, P#9, P#10, P#11…

The agency failed to ensure that the plan of care included all pertinent interventions for the comprehensive care of the patient and to ensure the accurate management of the anticoagulant therapy.

The SN visited the patient on 1/8/20. However, the visit note dated 1/8/20, lacked documentation on teaching signs and symptoms of bleeding while on anticoagulant therapy and prevention of bleeding caused by anticoagulant therapy.

The clinical record lacked any communication or coordination efforts made with care team members to discuss the management of the anticoagulation therapy.