Mbi Health Services, LLC

The Agency failed to ensure the clinician developed an individualized Plan of Care and included all required elements for three (3) of the nine (9) active clinical records reviewed (Patients #2, 3 and 4).

The Home Health Agency failed to ensure the clinician completed discharge summaries to include care provided for three (3) of three (3) discharged patients (Patients #10, 11, and 12).

1. Based on review of the Home Health Agency's organizational chart, personnel records, and staff interview, the Home Health Agency's Governing Body that has full legal authority and responsibility for the operation of the agency, failed to define its administrative control and lines of authority…

Failed to ensure that the individual, hired to serve as the agency's Administrator, is licensed in the District of Columbia in accordance with CFR §484.110, and Title 22 B DCMR 3907.9, for 1 of 1 personnel record.

Failed to hire a qualified individual to serve as the agency's Administrator for 1 of 1 personnel record.

Failed to appoint the individual assuming the role of the Home Health Agency's administrator, and failed to ensure that the administrator reported directly to the Governing Body, in accordance with 42CFR §484.105 for 1 of 1 required personnel record (Employee #2).

The Home Health Agency failed to maintain accurate and complete personnel records, to include personnel qualifications in accordance with 3907.2, the laws and rules of the District of Columbia; Title 22 B, District of Columbia Municipal Regulations in 1 of 3 personnel records.

Failed to authorize a qualified individual to assume the responsibilities and obligations as the administrator, in his or her absence, in accordance with 42 CFR §484.40 for 1 of 3 personnel records.

The agency's staff failed to collect, encode, and transmit OASIS data for a Medicaid patient aged 18 and over and receiving skilled services for one of five clinical records (Patient # 5).

1.Based on review of the CMS (Centers for Medicare and Medicaid Services) Submission Report, OASIS (Outcome & Assessment Information Set) Agency Final Validation Report, submitted to CMS on 07/18/18 at 8:42 AM, [Processing Completion, Date/ Time: 07/18/18 at 8:43 AM], and a copy received by the…

The nursing staff failed to document a comprehensive nursing assessment that accurately reflect the patients' status in one of 16 clinical records (Patient # 5).

The agency staff failed to ensure each patient was provided a written, individualized plan of care that identifies patient-specific measurable outcomes and goals for one of 16 clinical records (Patient # 5).

The agency's staff failed to conduct accurate medication reviews for two of three home visits conducted (Patients #1 and 2).

The agency's staff failed to ensure that patients' Plans of Care were individualized, and included all required elements, and any additional items the Home Health Agency or physician chose to include in three of 16 clinical records (Patients # 4, 9 and 14).

The agency staff failed to revise the plan of care to reflect current information from the patient's updated comprehensive assessment, and contain information concerning the patient's progress in one of three patients (Patient #1).

The agency's clinical staff failed to follow professional standards of practice regarding documentation of wound assessments in one of one clinical record for a patient with wounds (Patients # 5).