Four Seasons Nursing & Rehabilitation Chha

The agency failed to ensure that all completed OASIS (Outcome and Assessment Information Set) assessments were transmitted to the CMS (Centers for Medicare & Medicaid Services) within thirty (30) days.

The agency failed to ensure the patients received services as written in the plan of care.

The agency failed to ensure the patient’s signature confirming that he or she has received a copy of the notice of rights and responsibilities.

The agency failed to ensure the patient's initial assessment was completed within 48 hours of the referral.

The agency failed to ensure the patient's comprehensive assessment accurately reflect the patient's status.

The agency failed to ensure that all medications were accurately reviewed and documented in the patient's clinical record.

The agency failed to ensure each patient's individualized plan of care include all the required information.

The agency failed to ensure that treatments are provided as ordered by a physician.

The agency failed to promptly alert the relevant physician to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered.

The agency failed to ensure that there is a revised plan of care to reflect the patients updated current information.

The agency failed to ensure the patient or his or her representative was notified of changes to the patient's discharge.

The agency failed to ensure the patient received training and education according to the plan of care objectives.

The agency failed to ensure the the written visit schedule provided to the patient is consistent with the patient's most current plan of care.. This was evident for 1 (one) of 17 (seventeen) clinical records reviewed (Patient #2).

The agency failed to provide services that are ordered by the physician as indicated in the plan of care.

The agency failed to ensure clinical notes are submitted in a timely manner.

The agency failed to ensure that Home Health Aides follow the paraprofessional plan of care for completion of the assigned tasks.

The governing authority failed to coordinate care delivery to the patient or caregivers.

The governing authority failed to ensure that services must be provided in accordance with HHA own policies and procedure.