Avera @ Home Pipestone

The agency failed to encode and electronically transmit completed Outcome and Assessment Information Set (OASIS) assessments to the Center of Medicare and Medicaid (CMS) system within 30 days of completing the assessment for 1 of 3 (P6) patients observed during home care visits.

The facility failed to admit a patient within 48 hours of received referral or obtain a provider order to delay start of care (SOC) for 2 of 7 (P4, P5) patients reviewed for admissions.

The agency failed to ensure medication reconciliation during medication set up was completed by provider orders and without errors for 1 of 1 patients (P1) observed during medication set up.

The home health agency (HHA) failed to conduct a comprehensive all-hazards community based risk assessment to determine potential disasters which could impact the HHA, and develop corresponding policies and procedures to ensure patient safety and quality care during a disaster.

The home health agency (HHA) failed to develop a comprehensive emergency preparedness plan (EPP) which included a communication plan to ensure quality patient care and safety during a potential disaster.

The agency failed to ensure the plan of care (POC) included a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors, statement of risk for readmission to the hospital or visits to the…

The facility failed to ensure pneumococcal and influenza policy and procedures had been developed, including if the agency offered the vaccinations and if not offered, how the patients would receive the vaccination if indicated.