Madison Home Health Services

The agency failed to ensure they are reporting and transmitting Outcome and Assessment Information Set (OASIS) information monthly (G372).

The agency failed to ensure the physician’s plan of care contained the frequency and duration of visits to be made, diet orders, discharge plans, blood sugar parameters, complete list of diagnoses, services provided to reflect the primary diagnosis, and measurable goals.

The agency failed to document what indicators or measures were used to collect the data, show how they were tracked and how often, and how the information used improved quality and safety.

The agency failed to ensure the administrator met the qualifications for employment (G1052).

The provider failed to conduct exercises to test the emergency plan per 42 CFR 484.102(d)(2).

The agency failed to ensure they were reporting and transmitting Outcome and Assessment Information Set (OASIS) information monthly.

The agency failed to document what indicators or measures were used to collect the data, show how they were tracked and how often, and how the information used improved quality and safety.

The agency failed to ensure Performance Improvement Projects were done annually.

The agency failed to ensure the Governing Body assumes overall responsibilities for ensuring the Quality Assessment and Performance Improvement (QAPI) efforts address priorities for improved quality of care and patient safety and that clear expectations for patient safety are established…

The agency failed to ensure proper hand hygiene was used during treatment and care of the resident, failed to ensure the supply bag was placed on a water-resistant barrier, and failed to ensure all equipment was disinfected before returning to the supply bag.

The skilled nurse failed to do a complete patient assessment.

The agency failed to ensure the signature of the registered nurse contained the date and title.

The agency failed to ensure the administrator met the qualifications for employment.

The agency failed to ensure all medications taken by the patient were listed on the medication profile.

The agency failed to ensure the physician’s plan of care contained the frequency and duration of visits to be made, diet orders, discharge plans, blood sugar parameters, complete list of diagnoses, services provided to reflect the primary diagnosis, and measurable goals.

The agency failed to ensure there was a physician’s order for the services provided.

The agency failed to ensure therapy was referred as needed.

The agency failed to ensure written visit schedule, including frequency of visits by the agency personnel.

The agency failed to ensure written patient medication instructions and the current medication profile were left in the home.

The agency failed to ensure the licensed practical nurse (LPN) was supervised by a registered nurse (RN).

The agency failed to ensure the home health aide (HHA) followed the Aide Care Plan established by the registered nurse.

The Governing Body failed to appoint a qualified acting administrator.

The agency failed to ensure the emergency preparedness plan addressed how the agency would inform state and local emergency preparedness officials of patients that are in need of evacuation.

The agency failed to ensure the emergency preparedness plan included procedures on how the agency would inform state and local emergency preparedness officials of patients and on-duty staff they were unable to contact and how they would follow up with on-duty staff and patients.