Medical Services of America Home Health

The agency failed to ensure the Condition of Participation for Quality Assessment/Performance Improvement (QA/PI) requirement was met by failing to ensure implementation of a Quality Assessment Program to monitor effectiveness, safety of services, and quality of care as well as develop, implement…

The agency failed to ensure they encoded and electronically transmitted a completed OASIS (Outcome and Assessment Information Set) assessment to CMS (Centers for Medicare and Medicaid Services) system within 30 days of completing the assessment for 5 out of 12 patients sampled for medical records…

The agency failed to develop and implement an effective discharge planning process for 2 of 7 patients sampled for discharge, (#9, #10).

The home health agency failed to ensure quality indicator data collected was used to monitor the effectiveness, safety and quality of services provided, and failed to identify opportunities for improvement based on this data.

The home health agency failed to conduct and document performance improvement projects (PIPs) to demonstrate measurable improvement indicators for which there was evidence that improvement in those indicators would improve health outcomes, patient safety and quality of care.

The home health agency failed to demonstrate a coordinated and systematic agency-wide program for the surveillance, identification, prevention, and control of infections and failed to identify and treat infections for 1 of 12 (#12) patients reviewed.

Ithe agency failed to obtain the patient's or legal representative's signature to confirm they had received a copy of the notice of rights and responsibilities for 1 of 12 sampled patients, (9).

The Home Health Agency failed to alert the physician of changes in the patient's condition for 3 of 12 sampled patients, (Patients #s 11, 7 and 12). 1.Review of the medical record noted patient #11 was documented to be bedbound and in need of maximum assistance with all ADL’s.

The home health agency failed to ensure all skilled staff including both direct employees and contracted staff provided input and participated in the implementation of the agency’s QAPI program.

The HHA’s (Home Health Agency) Administrator failed to be responsible for the day-to-day operations of the HHA to ensure continuous managerial oversight of therapy services by failing to ensure contracts for therapy services were current and ensure active Quality Assurance and Performance…

The home health agency failed to ensure a current Therapy contract or agreement was in place for Physical therapists (PTs), Occupational Therapists (OT), and Speech Therapists (ST) who provide direct patient care, when they failed to identify the contact had expired in July of 2024. A “Medical…

The agency failed to retain overall responsibility for therapy services provided to their patients when they did not ensure they had a valid and current contract and by failing to fully investigate a contracted Physical Therapist (PT) who submitted erroneous documentation for 1 of 12 records…

The home health agency failed to ensure all required items were in the clinical record to include accurate, legible, and clear information in clinical notes and assessments, to include signatures of patients and/or families verifying visits and signing consents for services for 4 of 12 patients…

The agency failed to inform patients in written information, of the State toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose to receive complaints or questions about local home health agencies.