County Home Health

The agency failed to electronically transmit each completed OASIS (a comprehensive assessment tool used by CMS to collect certain patient information) to the CMS system within 30 days of completing the assessments for 6 of 6 assessments transmitted from 07/22/2022 to 07/24/2024. Failure of the…

The agency failed to ensure an update of the comprehensive assessment for 1(Patient 2) of 2 active patients after Patient 2 fell, fractured her wrist, and required surgery to repair the fracture.

The agency failed to conduct performance improvement projects for 3 (July – December 2021, 2022, 2023, and through July 26/2024.) of 3 years of the survey review period.

The agency failed to document both the existence of the complaint and the resolution of the complaint for 2 (Patient 2 and 3) of 7 patient records reviewed.

The plans of care failed to include a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors.

The agency failed to provide each patient a visit schedule, including frequency of visits by HHA personnel and personnel acting on behalf of the HHA for 2 (Patient 1 and 2) of 2 active patients who received home visits from the surveyor.

The deficiency was previously cited at E 006 during survey dated 11/27/2017. Based on record review and interview, the agency failed to have a written emergency preparedness and response plan that was based on and included a documented, facility-based and community-based risk assessment, utilizing…

This deficiency was previously cited at G 323 during survey dated 11/27/2017. Based on record review and interview, the agency failed to transmit completed OASIS assessments to CMS OASIS contractor, within 30 days of completing the OASIS assessment of the beneficiary (patient) in: 1. Seven of Seven…

The agency failed to conduct PIP(s) for the calendar years 2018, 2019 and 2020 that reflected the scope, complexity and past performance of the agency's services and operations.

The agency's governing body failed to ensure that, in one of one QAPI program, an ongoing program for quality improvement and patient safety was implemented and maintained.

The agency failed to enforce a written policy to review and revise all aspects of its infection control program annually for the years 2018, 2019 and 2020. The failure could have placed the agency's patients at risk of contracting and spreading infectious and communicable diseases.

The agency failed to ensure proper written notice was provided, in advance of terminating on-going care in seven of seven inactive patient records reviewed.

The agency failed ensure the patients' right to be advised of the names, addresses, and telephone numbers of federally-funded and state-funded entities that service the area where the patient resided in three (Patients # 1, 2 and 3) of three patient home visits, with review and observation of the…