Complete Home Health of Oklahoma City
Inspection 2023-02-16
· Recertification · 14 deficiencies · CMS source report (PDF)The agency failed to ensure development of an episodic Plan of Care for three (Patients #3, 7 and #10) of 18 patients.
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The agency failed to ensure evidence of a patient centered QAPI Program for all patients and employees.
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The agency failed to ensure utilization of QAPI data for all patients and employees.
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The agency failed to ensure conduction of patient centered QAPI Program activities that included self-monitoring efforts and opportunities to identify problems to improve care, services and operations for all patients and employees.
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The agency failed to ensure its infection control program surveillance monitoring and reporting was included in QAPI program activities for all patients and staff.
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The agency failed to ensure patients’ rights to have completed assessments, participate in the establishment and revision of a plan of care and be informed of disciplines to provide services with expected frequencies of visits for one (Patient #3) of 18 patients.
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The agency failed to ensure an advance notice of discharge was provided prior to being discharged from the agency for four (Patients #11, 12, 13 and #18) of 18 patients.
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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 #11) of 18 patients; 2. Educate the patient on potential health outcomes from discontinued HHA care and services for one…
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The agency failed to ensure: 1. An individualized patient POC included pain reporting parameters for five (Patients #2, 4, 5, 8 and #9) of 18 patients and; 2. An individualized patient POC included catheter treatment intervention due or last changed date for one (Patient #6) of 18 patients.
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The agency failed to ensure SN visits were ordered by the physician for two (Patients #7 and #10) of 18 patients.
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The agency failed to ensure care was coordinated between the agency and physician for two (Patient #3, 13 and #18) of 18 patients.
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The agency failed to ensure an OT evaluation was conducted for one (Patient #2) of 18 patients.
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The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.
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The agency failed to ensure a completed discharge summary was provided for two (Patients #15 and #16) of 18 patients.
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