Egan-Ochsner Home Health River Parishes

The agency failed to ensure each OASIS (Outcome and Assessment Information Set) was successfully transmitted to the Centers for Medicare and Medicaid Services (CMS) system within 30 days of completion.

The agency failed to ensure an accurate review of all medications that were prescribed for 1 (Patient #6) of 7 sampled patients observed for medication reconciliation during home visits.

The agency failed to ensure a patient received skilled nursing services per the plan of care for 1 (Patient #1) of 3 (Patient #1, Patient #2, and Patient #3) sampled patients reviewed for nursing services provided.

The agency failed to ensure the patient’s Support Coordinator (SC) was notified: 1. When the agency was unable to provide skilled nursing services per the plan of care (Patient #1); and 2. When the agency was unable to contact Patient #1’s caregiver to provide services to Patient #1. This deficient…

The agency failed to ensure the agency maintained responsibility for the Extended Home Health (EHH) patients who were assigned to the home health agency.

The agency failed to ensure agency-wide surveillance for the identification and prevention of all infections for 5 of 5 sampled patients (Patient #1, Patient #5, Patient #6, Patient #11, and Patient #13) reviewed during the infection control review.

The agency failed to ensure an accurate medication reconciliation of patients medications for 2 of 7 sampled patients (Patient #1 and Patient #5) observed for medication reconciliation during home visit observations.

The agency failed to ensure weekly wound care measurements were completed to monitor for wound status for 1 of 7 sampled patients (Patient #5) with wounds.

The agency failed to: 1. ensure the physical therapist and skilled nurse provided care and services per the frequency in the plan of care for 2 of 17 patients reviewed for care and services per the plan of care (Patient #5 and Patient #17); 2. ensure the patient received home health aide services…

The agency: 1.) failed to have documentation of a Quality Assessment Performance Improvement (QAPI) program capable of showing measurable improvement in indicators for which there was evidence that improvement in those indicators will improve health outcomes, patient safety, and quality of care…

The agency failed to maintain and utilize quality indicator data to monitor the effectiveness and safety of services and quality of care, and identify opportunities for improvement with the frequency and detail of the data collection approved by the agency's governing body.

The agency failed to maintain any documentation that the Governing Body maintained their required responsibilities for the Quality Assurance and Performance Improvement program.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that is an integral part of the HHA's quality assessment and performance improvement (QAPI) program.

The agency failed ensure the clinicians were completing medication reconciliations and updating the record for 6 of 7 patients reviewed during home visits in a total sample of 17 (Patient #1, Patient #2, Patient #5, Patient #6, Patient #7, and Patient #10).

The agency failed to ensure skilled professionals assumed responsibility for providing services that are ordered by the physician as indicated in the plan of care for 1 (Patient #1) of 5 (Patient #1-Patient #5) patients reviewed for care and services provided per the plan of care, as evidenced by…

The agency failed to ensure skilled professionals assumed responsibility for communication with all physicians involved in the plan of care for 2 (Patient #2, and Patient #3) of 5 (Patient #1-Patient #5) patients reviewed for care and services provided per the plan of care as evidenced by the…

The agency failed to ensure all home health services were provided in accordance with current clinical practice guidelines and accepted professional standards of practice for 3 (Patient #1, Patient #3, and Patient #4) of 5 (Patient #1-Patient #5) patients reviewed for care and services provided per…