Hamilton Co Public Health Chha

Failure to consult with the physician when changes occur, has the potential for unmet patient needs and/or negative patient outcomes.

The agency failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS), regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the…

The agency failed to ensure a complete physician Plan of Care (POC) was developed to meet the individualized needs of the patient in one of seven patient records reviewed (Patient # 3).

Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

The agency failed to ensure services are provided in accordance with the physician's Plan of Care (POC) in four of seven patient records (Patient # 2, 3, 4 and 6).

The agency failed to ensure in two of four records reviewed (Patient # 3 and 4) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

The agency failed to ensure in two of seven records (Patient # 2 and 4), that professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in four of seven patient records reviewed (Patient # 2, 5, 6 and 7).

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

The agency failed to ensure services were provided in accordance with the aide Plan of Care (POC) in two of four records (Patient # 3 and 4) of patients receiving paraprofessional aide services.

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in two out of seven records (Patient # 2, 5).

The agency failed to ensure in one out of two records (Patient # 1) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

The agency failed to ensure in two out of seven records (Patient # 3, 4) professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

Observational Home Visit (HV) and staff interview the agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in seven out of seven records (Patient # 1, 2, 3, 4, 5, 6, 7).

Failure to notify the physician of changes that suggest the need to alter the POC and/or measurements outside of the established parameters has the potential to result in unmet patient needs and negative patient outcomes.