Metrowest Homecare and Hospice, an Amedisys Company

The agency failed to electronically transmit completed Outcome and Assessment Information Set (OASIS-a group of standard data elements developed to enable systemic comparative measurements of home health care patient outcomes) assessments to the Centers for Medicare and Medicaid (CMS) system within…

The agency failed to ensure infection control guidelines were maintained and the tablet computer (a portable, touchscreen device) used to document patient visits was sanitized after use during a home visit observation for 1 patient (#6), out of a total sample of 7 patient home visits.

The agency failed to ensure the individualized plan of care was signed timely by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration, for 5 patients (#1, #3, #4, #6 and #10), out of a total sample of 17 patients.

The agency failed to ensure the Notice of Medicare Non-Coverage (NOMNC-an official Centers for Medicare and Medicaid Services {CMS} form that informs beneficiaries when their Medicare-covered skilled services, home health or outpatient rehabilitation services are ending and explains the right to…

The agency failed to ensure the Plan of Care (POC) was followed relative to oxygen use for 1 patient (#6) during a home visit observation, out of a total of 7 home visits.

The Agency failed to ensure that its staff conformed with the Physician's orders for eight Patients (#6, #11, #13, #1, #2, #8, #12, and #17) from a total sample of 17 Patients.

The Agency failed to ensure its Nursing staff completed clinical notes within 24 hours after providing home visits for two Patients (#8 and #12) out of a total sample of 17 Patients.

The Agency failed to ensure its staff communicated with the Physician when there was a change in the plan of care for 10 Patients (#6, #10, #11, #13, #1, #2, #7, #8, #12, and #17), out of a total sample of 17 Patients.