Lasik Home Health Care Inc

The agency failed to ensure care coordination with other entities/disciplines providing care for 2 of 3 clinical records reviewed.

The agency failed to ensure the clinical manager ensured the implementation of the plan of care to meet patient's needs in 3 of 3 clinical records reviewed.

The agency failed to follow its policy for implementing the discharge process in 1 of 1 closed record reviewed for a discharge to a hospital.

The agency failed to ensure the discharge summary was sent to the physician in 1 of 2 closed clinical records reviewed.

The agency failed to ensure patients received the services outlined in the POC in 1 of 1 active clinical record reviewed.

The agency failed to ensure patients who requested discharge from services were educated on risks and potential outcomes with an in-person discharge visit in 1 of 2 clinical record reviews of discharged patients.

The agency failed to ensure the discharge summary was sent to the physician in 2 of 2 closed clinical records reviewed.

The agency failed to ensure clinicians documented accurately in 1 of 2 closed records reviewed with services provided by HHA 1. (Patient #1) The findings include: A clinical record review for Patient #1 evidenced HHA visit notes completed by HHA 1 on 01/02/2026, 01/03/2026, and 01/04/2026 from 8:00…

The agency failed to ensure services were coordinated with all providers to ensure integration and treatment effectiveness in 2 of 3 clinical records reviewed.

The agency failed to ensure the HHA was provided training and demonstrated competence in a task assigned by the agency in 1 of 1 closed clinical record reviewed with a sitz bath (warm, shallow bath to clean the genital and anal area to provide pain/itch relief).

The agency failed to ensure the RN developed the POC to include changes as necessary in 1 of 4 active clinical records reviewed.

The agency failed to ensure the RN prepared the clinical notes accurately in 1 of 4 active clinical records reviewed.

The home health agency failed to ensure a skilled nursing professional notified the Director of Nursing nor Reassessed a Patient with low oxygen saturation levels nor followed up with new medications ordered (see G0704); failed to ensure a skilled nursing professional provided interventions per the…

The agency failed to ensure a skilled nursing professional reassessed patient, notified the Director of Nursing, or followed up on new medication to be ordered by Physician A, nor ensured patient was medically stable prior to leaving Patient's home when a decline in condition was identified in 1 of…

The agency failed to obtain verbal orders prior to initiating plan of care orders in 1 of 1 active clinical records reviewed with a provider change to Physician A (Patient #4), and in 2 of 2 discharged clinical records reviewed with Physician A documented as their plan of care physician (Patient…

The agency failed to ensure a skilled nursing professional provided interventions only as ordered in the plan of care in 1 of 1 active clinical record reviewed with a diagnosis of congestive heart failure (Patient #4).

The agency failed to ensure a skilled nursing professional notified physicians of a decline in a patient condition in 1 of 1 clinical record reviewed of a patient hospitalized via emergency medical services (Patient #6).

The agency failed to ensure a home health aide notified the RN of a change in patient condition in 1 of 1 clinical record reviewed with patient expired / death (Patient #5).

The agency failed to ensure documentation was completed timely and accurately in 3 of 3 clinical records reviewed with HHA visit notes completed by HHA 1. (Patient #1, 2, 5) The findings include: 1. An undated agency policy titled “Clinical Documentation” indicated the direct caregivers would…

The agency failed to ensure services were provided as outlined in the POC in 1 of 1 active clinical record reviewed with HHA notes completed by HHA 1 in a total sample of 1 active clinical record schedule with HHA 1. (Patient #1) The findings include: A clinical record review of Patient #1…

The agency failed to maintain compliance with the condition of Emergency Preparedness at 42 CFR 494.62. The requirement was not met as evidenced by: the agency failed to include a process for cooperation and collaboration with local, state, and federal emergency preparedness officials to maintain…

The home health agency failed to ensure: the initial assessment was completed within 48 hours (see tag G0514); the comprehensive assessment was completed within 5 days of the SOC (see tag G0520); and the comprehensive assessment included a review of all patient medications (see tag G0536).

The agency failed to implement an effective discharge process (tag G562) and failed to send a discharge summary to the physician (tag G564).

The home health agency failed to ensure: the patient’s needs were met (See tag G0570); services were provided per the plan of care (See tag G0572); the plan of care included all required information / elements for the treatment of the patient (See tag G0574); services were provided only as ordered…

The home health agency failed to ensure: the home health aide was assigned with appropriate written instructions (see tag G0798); the home health aide provide services that were included in the plan of care (see tag G0800); supervision visits of the HHA occurred every 14 days when a skilled service…

The home health agency failed to ensure the administrator was responsible for accurate public information (see tag G0948) and for maintaining the manner in which the services were to be provided under contract (see tag G978).

The home health agency failed to evidence cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency situation in 1 of 1 dialysis facility.

The home health care agency failed to evidence emergency preparedness policies and procedures that aligned with the facility and community based risk assessment in 1 of 1 home health care agency.

The home health care agency failed to include contact information for entities providing services under arrangement with the agency in the emergency preparedness plan in 1 of 1 home health agency.

The agency failed to evidence they provided training in emergency preparedness policies and procedures to individuals providing services under arrangement in 5 of 5 records of contracted staff. [OT1, PT1, PT2, PT3, and PT4]. The findings include: The policy dated 2023 -2024 and titled “Policy on…

The agency failed to conduct exercises to test the emergency plan, annually, in 1 of 1 home healthcare facility.

The agency failed to ensure the services were provided as directed in the POC in 4 of 5 active clinical records reviewed.

The agency failed to ensure all employees practiced standard/universal precautions to prevent the transmission of infections and failed to follow agency infection control policies and procedures in 3 of 3 home visits.

The agency failed to ensure the HHA was provided with written instructions for care in 1 of 3 active clinical records reviewed with HHA services in a total of 5 active clinical records reviewed.

The agency failed to inform and obtain consent in advance of treatment in 1 of 1 clinical record review of a duplicated skilled admission in a total census of 5 active clinical records reviewed.

The agency failed to conduct the initial visit within 48 hours of the referral for home health services in 4 of 4 active clinical records reviewed in a total sample of 5 clinical records reviewed.

The agency failed to ensure the comprehensive assessment was completed within 5 days from the SOC in 1 of 2 active clinical records reviewed with PT services in a total sample of 5 active clinical records reviewed.

The agency failed to ensure the comprehensive assessment included a drug review for drug reactions in 1 of 3 active clinical records reviewed with a SOC since 07/01/2025 in a total sample of 5 active clinical records reviewed.

The agency failed to provide a comprehensive assessment at time of discharge in 1 of 1 closed record reviewed where the Patient was available for assessment in a total sample of 2 closed records reviewed.

The agency failed to ensure the POC contained all required components to include patient-specific interventions, safety measures, and goals in 3 of 5 active clinical records reviewed.

The agency failed to ensure services were provided only as ordered by a physician in 2 of 4 active clinical records reviewed with only 1 certification period in a total sample of 5 active records reviewed.

The agency failed to notify the physician of changes in the patient’s condition, a for a need to change the POC, and of identified issues with the medication review per agency policy in 4 of 5 active clinical records reviewed.

The agency failed to communicate changes to the POC with the physician responsible for the POC in 1 of 2 active clinical records reviewed receiving PT services in a total sample of 5 active clinical records reviewed.

The agency failed to ensure care was coordinated with all healthcare providers in 1 of 1 active clinical record reviewed with services provided by a wound clinic (Patient #2) and in 1 of 1 active clinical record reviewed with another agency providing therapy services (Patient #5) in a total sample…

The agency failed to provide services ordered in the plan of care to include reviewing medications in 1 of 3 observations of home visits. [Patient 1] Findings include: A policy, titled “C-700 Medication Profile”, indicated that the medication profile should be updated whenever there is a change or…

The agency failed to ensure the HHA provided services as directed in the care plan in 1 of 3 clinical records reviewed of patients receiving HHA services in a total sample of 5 active clinical records reviewed.

The agency failed to ensure supervisory visits were made at least every 14 days when HHA services were provided with a skilled service in 1 of 2 active clinical records with HHA services provided for at least 14 days in a total sample of 5 active clinical records reviewed.

The agency failed to ensure the RN conducted HHA supervisory visits on-site in 1 of 2 records reviewed of patients who had HHA and skilled services for more than two weeks in a total sample of 5 active clinical records reviewed.

The agency failed to ensure that Home Health Aide Supervision oversight included that the HHA followed the patient’s plan of care for completion of tasks assigned to a HHA in 1 of 2 clinical record reviews of patients who had HHA services for at least 2 weeks requiring a supervisory visit in a…

The agency failed to ensure the administrator provided oversight of the day-to-day operations to include the accuracy of public information.

The agency failed to maintain the overall responsibility of the manner in which services provided under contract were to be provided.

The home health agency failed to ensure the agency failed to ensure services were provided to meet the patients’ needs and the plan of care was individualized (See G0570), failed to ensure each patient received the services that are written in an individualized plan of care (POC) (See G0572)…

The agency failed to: ensure the governing body approved the frequency of the data collection, the quality assessment and performance improvement (QAPI) program utilized quality indicator data to include OASIS (Outcome and Assessment Information Set) data to identify opportunities for improvement…

The agency failed to ensure each patient received the services that are written in an individualized plan of care (POC) in 1 of 1 active record reviewed, of a patient who resided in a group setting and a home visit observation was conducted (Patient #2).

The Registered Nurse (RN) failed to assign tasks appropriate and provide pertinent patient information to the Home Health Aide (HHA) in 2 of 4 active clinical records reviewed who received aide services (Patient #2, 9).

The agency failed to accurately document into the clinical record in 3 of 4 active clinical records reviewed (Patient #9, 11, and 13).

The agency failed to ensure the content of the comprehensive assessment accurately reflected the patient’s current health, psychosocial, functional, and cognitive status in 3 of 4 active clinical records reviewed (Patients #9, 11, and 13).

The agency failed to ensure the comprehensive assessment included a review of all the medications the patient was currently using, to identify any potential adverse effects and / or drug reactions in 2 of 4 active patient records reviewed (Patients #11 and13) and 1 of 2 home visit observation of…

The agency failed to ensure the plan of care included all treatments, services, and medications in 3 of 4 active clinical records reviewed.

The agency failed to ensure the primary care physician was promptly alerted of relevant changed in the patient’s condition or needs in 1 of 2 active clinical records with a home visit (Patient #13).

The agency failed to evidence integration of all services to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness in 3 of 4 active clinical records reviewed (Patient #2, 9, 13).

The agency failed to ensure home health aide (HHA) provided services included in the plan of care in 3 of 4 active clinical records reviewed (Patients #2, 9, 13).

The agency failed to ensure the registered nurse completed the aide supervisory visit on site in 2 of 2 records reviewed with skilled nurse services and aide services for more than 30 days (Patients 2 and 11).

The agency failed to ensure the home health aide (HHA) was supervised to ensure the aide furnished care that followed the patient’s plan of care in 2 of 4 active clinical records reviewed.

The home health agency failed to ensure: the initial assessment was completed within 48 hours of referral (see tag G0514); the comprehensive assessment included the patient’s current health status (see tag G0528); the comprehensive assessment included a review of all patient medications (see tag…

The home health agency failed to ensure: the plan of care was reviewed by the physician, individualized and followed by all agency staff (See tag G0572); the plan of care included all required information / elements for the treatment of the patient (See tag G0574); all treatments provided by agency…

The agency failed to include in the comprehensive assessment the patient’s individual emergency preparedness and failed to develop a patient-specific emergency preparedness plan in 2 of 3 home visits.

The agency failed to electronically transmit the completed OASIS (Outcome and Assessment Information Set) assessment to the CMS (Centers for Medicare and Medicaid Services) system within 30 days of the completion of the patient assessment in 5 of 5 active clinical records reviewed.

The agency failed to conduct a comprehensive assessment at time of discharge in 1 of 3 closed clinical records reviewed.

The agency failed to ensure the discharge and transfer summary included all information pertaining to the patient’s current course of illness and treatment and post-discharge goals and failed to ensure the summaries were sent to the receiving facility or health care practitioner in 1 of 1 active…

The agency failed to provide the services as directed in the plan of care in 3 of 5 active clinical records reviewed.

The registered nurse (RN) failed to assign tasks appropriately to the home health aide (HHA) in 2 of 5 active clinical records reviewed.

The governing body failed to develop and review the budget.

The agency failed to ensure the entries in the clinical record were accurate and completed at time of the visit in 2 of 5 active clinical records reviewed.

The agency failed to ensure the patient was informed of and consented to in advance of care the disciplines that were to furnish care and the frequency of visits in 1 of 5 active clinical records reviewed.

The agency failed to conduct an initial assessment within 48 hours of referral for 3 of 5 active clinical records reviewed.

The agency failed to evidence the comprehensive assessments were complete and accurately reflected the patient’s health status in 1 of 1 active clinical record reviewed with wounds (Patient #1) and 1 of 1 active clinical record reviewed receiving dialysis (a medical process removing waste products…

The agency failed to ensure all medications were reviewed for potential adverse effects and drug reactions in 1 of 3 home visits.

The agency failed to ensure a comprehensive assessment was completed for 2 of 3 closed clinical records reviewed.

The agency failed to ensure the individualized plan of care included all pertinent medical equipment, safety precautions, treatments and services for 5 out of 5 active clinical records reviewed.

The agency failed to ensure services and treatments provided only as ordered by a physician in 4 of 5 active clinical records reviewed.

The agency failed to ensure the plan of care was reviewed by the physician at least every 60 days in 1 of 4 active clinical records reviewed with more than 1 certification period.

The agency failed to ensure the physician was notified of changes in the patient’s condition and/or of major drug interactions in 2 of 5 active clinical records reviewed.

The agency failed to revise the plan of care to include the physical therapy (PT) interventions of goals in 1 of 1 active clinical record reviewed with PT services.

The agency failed to coordinate services and care in 3 of 5 active clinical records reviewed.

The agency failed to provide the patient and caregiver in writing with a copy of the visit schedule in 2 of 3 home visits conducted.

The agency failed to ensure the patient was provided with written medication instructions and schedule in 1 of 3 home visits.

The agency failed to provide the patient and caregiver in writing with the treatments to be administered by agency personnel in 2 of 3 home visits.

The registered nurse (RN) and physical therapist (PT) failed to prepare clinical notes accurately, timely, and completely in 3 of 5 active clinical records reviewed.

The home health aide (HHA) failed to provide the services as directed in the care plan in 3 of 5 active clinical records reviewed.

The home health aide (HHA) failed to communicate changes in the patient’s condition in 1 of 5 active clinical records reviewed.

The agency failed to ensure the supervision of the home health aide (HHA) at least every 14 days in 1 of 5 active clinical records reviewed with skilled services and HHA services.

The agency failed to supervise the home health aide (HHA) to ensure the aide furnished care that followed the patient’s plan of care in 3 of 5 active clinical records reviewed.

The administrator and governing body failed to authorize in writing a qualified person to assume the responsibilities of the administrator in their absence.

The agency failed to ensure the clinical record included plans of care in 1 of 5 active clinical records reviewed.