Nurse Care Home Health Agency Inc

The Agency failed to encode and electronically transmit each completed OASIS (a tool used by CMS to collect and report patient information for quality improvement and monitoring) assessment to the CMS system within 30 days of completing the patient’s assessment for 32 of 49 OASIS assessments…

The Agency failed to ensure the completion of the OASIS (a tool used by CMS to collect and report patient information for quality improvement and monitoring) data items on the patient’s initial comprehensive assessment which included the patient’s supportive assistance status and integumentary…

The Agency failed to ensure the completion of an updated OASIS (a tool used by CMS to collect and report patient information for quality improvement and monitoring) Comprehensive Assessment at discharge for 2 (Patients 2, and 7) of 7 discharged patients’ records reviewed in that: The Agency failed…

The Agency failed to ensure that the patient’s individualized plan of care for 5 (Patients 2,3,4,6 and 7) of 7 discharged patients’ records reviewed included all required items: All necessary interventions to address the Diabetes primary diagnosis for Patients 2, 3, and 6. All necessary…

The agency failed to maintain an emergency preparedness plan that was reviewed and revised every 2 years and was based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach for 3 (2020, 2021, and 2022) of three years reviewed during the…

Interview the comprehensive assessment for 2 (Patient 3 and 5) of 2 patients reviewed who had a dialysis access failed to accurately reflect the patient's condition, including the location and status of the dialysis access site.

The agencies governing body failed to be responsible for ensuring that an ongoing program for quality improvement and patient safety was implemented, and maintained for 3 (2020, 2021, and 2022) of 3 years of the survey review period.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that is an integral part of the HHA's quality assessment and performance improvement (QAPI) program for 3 (June of…

The agency failed to ensure the patients’ right for 2 (Patients 1 and 3) of 3 patients to be advised of the contact information for the following Federally - funded and state-funded entities: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, and Aging and Disability…

The agency failed to document both the existence of a complaint and the resolution of the complaint for 2 (Patient 1 and 4) of 2 complaints about PT and nursing services.

The agency failed to ensure the Plan of care for 6 (Patients 1,2,3,4,5 and 6) of 7 patients contained all required items: Patient 3 and 5 all necessary interventions to address the underlying risk factors of the dialysis access site.

The Administrator / DON failed to be responsible for all day to day operations of the Home Health Agency and failed to implement, enforce and monitor adherence to the written policies for QAPI, Emergency Preparedness, Patient Care, Complaint Investigations, and Infection control for 3 (June of…