Concerned Care Home Health, Inc

The agency failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) as evidenced by failing to ensure the agency successfully completed and transmitted OASIS data within 30 days of completion of the assessment of the beneficiary.

The HHA failed to ensure staff followed accepted standards of infection control practices for 3 (Patients #1, #6, #7) of 7 (Patients #1, #2, #3, #4, #5, #6, and #7) patients observed during home visits.

The agency failed to ensure the medication profile accurately reflected all medications patients were using, and/or did not reflect medications the patients were no longer using, for 4 (Patient #1, #2, #6 and #7) of 7 (Patients #1- #7) sampled patients reviewed who received home visits.

She reviewed Patient #4’s Clinical Record and confirmed wound care should have been provided per physician’s orders/Plan of care and wounds measured at least weekly on the aforementioned dates and was not.

The agency failed to maintain documentation of annual abuse and neglect training for 11 of 11 (S1DCS, S2LPN, S3RN, S4RN, S5OT, S6PT, S8HHA, S9HHA, S10HHA, S11HHA and S12HHA) employee personnel files reviewed, in accordance with federal regulation requirements.

The agency failed to integrate services to identify patient needs and coordinate care provided by all disciplines for 1 (#1) of 5 (#1-5) patients reviewed that had wounds.

The agency failed to ensure the medication profile accurately reflected all medications patients were using and/or did not reflect medications the patients were no longer using, for 5 (#4, #6, #7, #11, #12) of 7 (#4, #6, #7, #8, #10, #11, #12) sampled patients reviewed who received home visits.

The agency failed to ensure the total plan of care was signed and dated by the patient's physician in a timely manner for 5 (Patients #3, #6, #11, #13, and #17) of 17 (Patients #1-#17) sampled patient records reviewed.