Interim Healthcare of Tulsa, Inc.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and current employees.

The agency failed to ensure an emergency preparedness disaster tabletop exercises or disaster drill were conducted for calendar years 2022 and 2023 for all patients and current staff members.

The agency failed to ensure SN frequencies were followed as ordered for four (Patients #1, 8, 9 and 10) of ten patients.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and current employees.

The agency failed to ensure conduction of patient centered QAPI Program activities for all patients and current employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for all patients and current employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities for all patients and current employees.

The agency failed to ensure a patient centered QAPI Program for all patients and employees.

The agency failed to ensure a patient centered QAPI Program for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement.

The agency failed to ensure development of performance improvement activities to track adverse patient events.

The agency failed to ensure governing body oversight of the conduction of patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure: 1) The Infection Control Program included comprehensive infection control surveillance activities and interventions to reduce future infections and promote learning and preventative measures throughout the agency and; 2) The Infection Control Program was included in…

The agency failed to ensure an advance beneficiary notice was provided at least 48 hours prior to discharge from agency services for one (Pt #3) of five patients.

The agency failed to ensure a medication profile was reviewed and updated with an end date for an ordered medication for two (Pt #2 and 4) of five patients.

The agency failed to ensure improvement activities were identified and focused on high risk problem-prone areas for 128 current patients.

The agency failed to ensure an emergency preparedness disaster table top exercises and drills were conducted for calendar year 2019 for 238 patients and all staff members.

The agency failed to ensure the physician was notified of missed visits for 10 (Pt's #2, 3, 4, 5, 6, 8, 10, 11, 15, 16 and #17) of 17 patients.

The agency failed to ensure: 1. patient education on potential health outcomes related to refusal of SN visits; and 2. physician notification of the patient's continued refusal of SN visits for two (Pt's #4 and #8) of 17 patients.

The agency failed to ensure medication embedded wound care supplies were included in the review of medications for potential/adverse effects, drug reactions, side effects, interactions and duplicate drug therapy for five (Pt's #3, 9, 13, 15 and #16) of seventeen patients.

The agency failed to ensure a discharge oasis assessment was completed for one (Patient #7) of seventeen patients.

The agency failed to ensure individualized POC's included: 1. pain reporting parameters for eight (Pt's #1, 2, 3, 5, 8, 10, 13 and #15) and; 2. interventions and goals related to the primary diagnosis for one (Patient #14) of 17 patients.

The agency failed to ensure physician notification of: 1. an in-patient hospital transfer with discharge from the HHA services for one (Patient #7) of seventeen patients and 2. a request for discharge from agency services for one (Patient #13) of seventeen patients.

The agency failed to ensure documentation of wound care interventions performed by the SN for two (Pt's #7 and #8) of seventeen patients.

The agency failed to provide patients with discharge notification/communication for two (Pts #2 and 13) of seventeen patients.

The agency failed to ensure home health aide supervisory visits were performed for two (Pt #7 and 12) of seventeen patients.

The agency failed to ensure the initial assessment was held within 48 hours of the referral for three (Patients #4, 8, and 12) of seventeen patients.

The agency failed to ensure staff developed an individualized plan of care to include: 1. instructions regarding assessment of a wound of left calf for one (Pt #1) of seventeen patients 2. vital sign parameters for hypertensive heart disease for two (Pts #3 and 6) of seventeen patients.

The agency failed to ensure employees provided services according to physician orders for one (Patient 14) of seventeen patients.

The agency failed to ensure physician notification of missed visits for two (Pt #1 and 12) of seventeen patients.