Elara Caring

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 maintain an accurate medication profile for 1 (#5) of 7 (#1, #2, #3, #4, #5, #6, and #7) sampled patients reviewed who received home visits.

The agency failed to have the Plan of Care (PoC) reviewed and revised by the physician every 60 days, beginning with the SOC (Start of Care) date for 1 (#13) of 17 (#1-#17) sampled patients reviewed.

The agency failed to provide skilled professional services according to the patient’s Plan of Care (PoC) for 1 (#14) of 17 (#1-#17) sampled patients reviewed.

The home health agency failed to ensure the RN provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 3(#11, #12 and #16) of 3(#11, #12 and #16) patients reviewed for pressure ulcers.

The agency failed to ensure the patient's comprehensive assessments included a review of all medications the patients were currently using.

The agency failed to ensure the patient's written Plan of Care was followed as evidenced by the following: 1. Home Health Aide visits were not conducted as ordered for 1(#11) of 3(#8, #10 and #11) sampled patient records reviewed with orders for Home Health Aide services.

The agency failed to ensure the comprehensive assessment was completed in a timely manner, consistent with the patient's immediate needs, but no later than 5 calendar days after the start of care for 1 (Patient #3) of 7 (Patients #1-7) total sampled patient records reviewed.

The home health agency failed to ensure the RN (Registered Nurse) provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 1 (#1) of 1 (#1) patients reviewed for pressure ulcers.