Kittitas Valley Home Health & Hospice

The agency failed to conduct the initial assessment visit within 48 hours of completing the referral.

The agency failed to ensure that services are provided in the plan of care are provided for 4 of 10 patients.

The agency failed to accurately complete the Outcome and Assessment Information Set (OASIS) data for M0102 and M0104 for 4 of 10 patients (Patient #102, Patient #105, Patient #107, and Patient #110).

The agency failed to ensure that there was reasonable determination for each of the missed visits in the plan of care and that the physician was notified of the missed visits for 4 of 10 patients (Patient #101, Patient #103, Patient #104, and Patient #109).

The agency failed to conduct the initial assessment visit within 48 hours of completing the referral for 5 of 10 patients (Patient #102, Patient #103, Patient #105, Patient #109, and Patient #110).

The agency failed to communicate with the patient’s provider of missed visits resulting in changes to the patient’s plan of care in 5 of 10 patients (Patient #302, #305, #306, #307 and #308).

The agency failed to update its policies and procedures to remain compliant with state licensing requirements for 7 of 7 personnel files reviewed and 10 of 10 patient records reviewed, including failure to complete skills verification for personnel (Item #1), failure to complete department-approved…

The agency failed to ensure the patient's right to consent to services in advance of receiving treatment for 1 of 10 patient records reviewed.

The agency failed to conduct the initial assessment visit within 48 hours of completing the referral for 3 of 10 patients (Patients #308, #309, and #310).

The agency failed to ensure that the patient comprehensive assessments were completed within 5 days from the start of care for 2 of 10 patient (Patient #302 and #310).

The agency failed to document Home Health Aide (HHA) supervision visits by a skilled professional every 14 days for 2 of 2 patients (Patient #305 and #306) who were receiving HHA services for longer than 14 days.

The agency failed to provide documentation of a signed department- approved disclosure statement for 4 of 5 employees (Staff# 501, 502, 503, and 504) and failed to ensure a system to obtain Washington State Patrol background (WSP) checks from employees every two years for 4 of 5 employees (Staff#…

The agency failed to conduct the initial assessment visit within 48 hours of receiving a referral for 3 of 10 patients in the sample (Patient's #2, 7 &, 10).

The agency failed to ensure 1 staff Registered Nurse (RN) (Employee #E) followed agency policies and procedures and accepted professional standards and principles for infection control during a dressing change for 1 patient (Patient #1).

The agency failed to follow the wound care P&P for wound measurements for 2 of 6 patients (Patients #3 & #8), receiving skilled nursing services for wound management.

The agency failed to develop and implement policies and procedures in compliance with CFR 484.50 ( e)(2) and WAC 246-335-525 (8) (a-b).