Carter Healthcare of Central Oklahoma, LLC

The agency failed to ensure advance beneficiary notice and/or Home Health Change of Care notice prior to discharge from agency services were provided to two (Patients #13 and 15) of 18 patients.

The agency failed to: 1. Show documentation of the problems encountered by the HHA related to behaviors that impeded the HHA from providing care and services for one (Patient #17) of 18 patients; 2. Educate the patient on potential health outcomes from discontinued HHA care and services for one…

The agency failed to ensure individualized patient POC included an individualized patient pain reporting parameters for two (Patients #1 and #4) of 18 patients.

The agency failed to ensure care was coordinated between the agency and physician for one (Patient #7) of 18 patients.

The agency failed to ensure: SN conducted visit frequency as ordered on the POC for one (Patient #9) of 18 patients; PT conducted visit frequency as ordered on the POC for one (Patient #9) of 18 patients.

The agency failed to ensure clinical records were complete for one (Patient #7) of 18 patients.

The agency failed to ensure a completed transfer/discharge summary was provided for two (Patients #14 and #18) of 18 patients.

The agency failed to ensure development of an individualized plan of care for two (Patients #3 and 12) of seventeen patients.

The agency failed to ensure a patient centered QAPI Program measured and tracked agency performance strategies to ensure improvements were sustained for all patients and employees.