Brandon Oaks at Home
Inspection 2019-10-16
· Recertification, Sample Validation · 8 deficiencies · CMS source report (PDF)The agency failed to develop an emergency preparedness plan based on a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach to include strategies for addressing emergency events identified by the risk assessments.
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The agency failed to develop and maintain an emergency preparedness plan (EPP) that included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency…
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The agency failed to ensure the collection of OASIS data accurately reflected the patient's status at the time of assessment for one (1) of seven (7) patients in the survey sample (patient #7) The findings were: Clinical records were reviewed in the agency on 10/16/19 with the following findings…
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The agency staff failed to ensure home health services were provided according to the patient's individualized plan of care for one (1) out of seven (7) clinical records reviewed in the survey sample (Clinical record: #4).
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The agency's staff failed to follow physicians orders for one (1) of one (1) patients in the survey sample receiving wound care (patient #6).
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The agency failed to ensure patients were informed at the time of admission of the frequency of proposed visits for three (3) of seven (7) patients whose records were reviewed in the survey sample (Clinical records: #2, #4 and #7).
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The agency failed to provide a Notice of Medicare Non-Coverage (NOMNC) to Medicare patients in advance of terminating care for one (1) of three (3) closed/discharge clinical records reviewed in the survey sample, for which a NOMNC was applicable (Clinical record: #2).
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The agency failed to ensure the patient's individualized plan of care included a description of the patient's advance directive and/or risk for emergency department visits and hospital re-admissions and evidence the patient participated in goal setting and/or agreed with goals identified by the…
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