Calvary Hospital Chha

The agency failed to ensure that all completed OASIS (Outcome and Assessment Information Set) assessments were transmitted to the CMS (Centers for Medicare & Medicaid Services) within thirty (30) days.

The agency failed to provide documented evidence that Performance Improvement Projects (PIP) were conducted.

The agency failed to ensure that initial assessments were conducted within the required time frames for all patients.

The agency failed to ensure each patient's plan of care included all the required information.

The agency failed to ensure the individualized plan of care is reviewed and revised by the physician at least every sixty (60) days.

The agency failed to provide pertinent instruction(s) related to the patient's care.

The agency failed to provide services that are ordered by the physician as indicated in the plan of care.