Caretenders

The agency failed to electronically transmit completed Outcome and Assessment Information Set (OASIS-a group of standard data elements developed to enable systemic comparative measurements of home health care patient outcomes) assessments to the Centers for Medicare and Medicaid Services (CMS)…

The agency staff failed to ensure infection control guidelines were maintained during the home visit observations of wound care for three patients (#6, #7 and #12), out of a total sample of seven patient home visits.

The agency staff failed to ensure clinical documentation was complete and appropriately authenticated and dated in accordance with currently accepted standards of practice for five patients (#2, #5, #6, #7 and #17), out of a total sample of 17 patients.

The agency failed to ensure rehabilitative therapy services provided by a Physical Therapy Assistant were under the supervision of a Physical Therapist (PT).