Patient Care

The facility failed to electronically submit completed OASIS assessments to the CMS system within 30 days of completing the assessment of the beneficiary.

The facility failed to provide language translation services to a non-English speaking patient according to facility policy in one of four medical records reviewed (Patient (P) 7).

The facility failed to provide a sanitary environment by ensuring equipment that is used for more than one patient is disinfected between each patient use.

The facility failed to ensure one out of five medical records reviewed (Patient (P) 17) received written notice of non-covered care, prior to discharge.

The facility failed to ensure that patient’s medical records are completed within 24 hours, as per facility policy in eight out of 12 medical records reviewed (Patient (P) 1, P5, P8, P9, P13, P14, P16, and P17).

The facility failed to ensure infection prevention measures are implemented to prevent the spread of infections and communicable diseases.

The facility failed to implement their protocol for identifying, controlling, and/or preventing infections and communicable disease by ensuring that COVID-19 screening is completed prior to staff entering the patient’s residence.

The facility failed to ensure that the physician is informed of the recommendation for additional Occupational Therapy visits.

The facility failed to provide individualized patient specific education.

The facility failed to ensure that patient visits are provided in accordance with the plan of care.

The facility failed to prevent the transmission of infections and communicable diseases in accordance with nationally recognized guidelines.

The facility failed to ensure that revision to discharge plans are discussed with the patient.

The facility failed to ensure that the patient is provided education as identified in the plan of care.

The facility failed to ensure sharing of information occurred between nursing staff and therapy.

The facility failed to ensure that wound care orders are performed and that the wound care policy was implemented.

The facility failed to ensure that nursing staff communicated with the physician a change in the plan of care.

The registered nurse failed to make home health aide supervisory visits every two weeks.

The facility failed to ensure that an accurate assessment of the patient is performed and documented.