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Failed to ensure orders were obtained to conduct SN medication set-up, injections, and HHA services (see G0572), failed to ensure all elements were included in the POC (see G0574), failed to ensure care coordination with other Agency (see G0608) The cumulative effects of these systemic problems…

The Agency failed to ensure orders were obtained to conduct SN medication set-up, injections, and HHA services with 6 of 7 active clinical record reviewed.

The agency failed to ensure 2 of 2 HHA’s followed the accepted standards of practice for infection control.

The agency failed to ensure a discharge notice was provided to notify the patient/patient’s representative of discharge, before services were discontinued for 3 of 3 inactive patients (Patients #2, 6, and 8) Findings include: 1. A review of an untitled policy stated, “When the patient’s POC changes…

The Agency failed to ensure a comprehensive assessment was completed within 48 hours with 1 of 1 patient hospitalized.

The agency failed to ensure a discharge OASIS comprehensive assessment was completed within 48 hours (2 days) of discharge for 3 of 3 inactive clinical records reviewed.

The Agency failed to ensure all elements were included in the POC with 4 of 7 active patient clinical records reviewed.

The Agency failed to ensure care coordination with 1 of 1 patient who received services from a personal service company.