M & L Medical Services Inc

The agency failed to transmit completed OASIS assessments (Outcome and Assessment Information Set - used to collect patient information to measure outcomes and quality improvement) within 30 days of completing the OASIS assessments to the Centers for Medicare & Medicaid Services (CMS) system for 19…

The agency failed to ensure proper written notice was provided, in advance of terminating on-going care in five of five (Patients #5 through 10) inactive patient records reviewed.

The agency failed to ensure the patient's individualized plan of care was reviewed by the patient's physician no less than once every 60 days, beginning with the start of care date in four (Patients # 1, 2, 4 and 5) of five active patient records reviewed.

The agency failed to include in the individualized Plan of Care patient-specific interventions.

The agency failed to assure communication with all physicians involved in the Plan of Care.

The agency failed to provide the patient and/or caregiver with written information outlining a visit schedule including frequency of visits by home health agency staff.

The agency failed to provide the patient and/or caregiver with written medication schedule/instructions.

The agency's nurses failed to provide services that were indicated in the Plan of Care and ordered by the physician.