Choice Homecare of Oklahoma

The agency failed to conduct a review of all medications the patient was currently using to identify adverse effects and drug reactions, side effects, and duplicate drug therapy for four (#1, #4, #5 and #7) of seventeen (#1- #17) records reviewed.

The agency failed to promptly alert the physician of a change in the patient's condition for two (#5 and #12) of seventeen (#1- #17) records reviewed.

The agency failed to provide a completed transfer summary to the facility within 2 business days of becoming aware of an unplanned transfer for one (#16) of five (#13- #17) discharged records reviewed.

The agency failed to ensure development of a community-based risk assessment (All Hazards Risk Assessment) for 315 patients and all employees.

The agency failed to ensure an Emergency Preparedness Communication Plan included updated staff contact information for 315 patients and all employees . Findings: A review of administrative records showed the Emergency Preparedness Communication Plan included staff contact information for former…

The agency failed to ensure an Emergency Preparedness Communication Plan included contact information for emergency management of agency resources for the agency and affecting 315 patients and all employees.

The agency failed to ensure evidence of a patient centered QAPI Program for 315 patients and all employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for 315 patients and employees.

The agency failed to ensure conduction of patient centered QAPI Program activities for 315 patients and employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 315 patients and employees.

The agency failed to ensure the Infection Control Program was included in QAPI activities for 315 patients and employees.

The agency failed to ensure governing body oversite of: 1. A patient centered QAPI Program for calendar year 2021; 2. An operating budget and allocation of resources activities for calendar years 2020 and 2021; and 3. An agency program evaluation for calendar years 2020 and 2021 for 315 patients…

The agency failed to ensure an advance notice of discharge was provided prior to being discharged from the agency for one (Patient #13) of 17 patients.

The agency failed to ensure patient education on potential health outcomes related to refusal of PT visits for one (Patient #13) of 17 patients.

The agency failed to ensure a medication profile was reviewed and updated with dose instructions for an ordered medication for one (Patient #14) of 17 patients.

The agency failed to ensure the individualized patient POC included: Recurring urinary catheter change due dates documented for one (Patient #10) of 17 patients and;Recurring intramuscular injection treatment due dates documented for one (Patient #10) of 17 patients.

The agency failed to ensure: SN performed wound care as ordered by the physician for one (Patient #3) of 17 patients and;SN visits were conducted as ordered by the physician for one (Patient #5) of 17 patients.

The agency failed to ensure the following services were provided as ordered on the POC for: 1. SN to conduct assessment of patient weight every visit and notify the physician of change in patient weight for one (Patient #1) of 17 patients; 2. PT evaluations were conducted for two (Patient #2 and…

The agency failed to ensure governing body appointment of an administrator and alternate administrator for the agency for all patients and staff.

The agency failed to ensure a clinical manager was available during all operating hours for 315 patients and all employees.

The agency failed to ensure an administrator or alternate administrator was available during operating hours for 315 patients and all employees.

The agency failed to ensure a completed transfer/discharge summary was provided for six (Patients #5, 13, 14, 15, 16 and #17) of 17 patients.