OK4 Home Health Agency, LLC

The agency failed to ensure a patient centered QAPI Program for all patients and employees.

The agency failed to ensure a patient centered QAPI Program for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 70 patients and all employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure the Infection Control Program included comprehensive infection control surveillance activities and interventions to reduce future infections and promote learning and preventative measures throughout the agency for all 79 patients and staff.

The agency failed to ensure physician notification of significant weight changes for one (Patient #6) of seven patients.

The agency failed to ensure improvement activities were identified and focused on high risk problem-prone areas for 79 current patients.

The agency failed to ensure a patient centered QAPI Program which measured and tracked agency performance strategies to ensure improvements was sustained for all patients and employees.

The agency failed to ensure: 1) development of an individualized plan of care for one (Pt #2) of four patients; 2) the POC included a frequency and duration for services provided for two (Pt #1 and 3) of four patients; 3) their policies for POC development and frequency were followed for three (Pts…

The agency failed to ensure CHHA supervisory visits were completed every 14 days for one (Pt #3) of one patient with HHA visits.

The agency failed to ensure: 1) clinical notes were complete and included in the clinical record for three (Pts #2, 3 and 4) of four patients and 2) staff followed agency policy to submit visit notes and orders within 48 hours for three (Pts #1, 2 and 4) of four patients.