Providence at Home With Compassus, Snohomish County

The agency failed to accurately complete the Outcome and Assessment Information Set (OASIS) data for M0104 that indicates the completed referral date for 11 of 20 patients (Patients #101, #102, #104, #106, #107, #108, #112, #113, #117, #118 and #120).

The agency failed to operationalize its policies and procedures to remain compliant with state licensing requirements including implementation of a TB Program (Item #1), completion of annual performance evaluations (Item #2) for 12 of 12 personnel files (Staff #101, Staff #102, Staff #103, Staff…

The agency failed to inform patients of all aspects of their plan of care, including the total frequency of the proposed services and the manner in which the agency will provide those care and services.

The agency failed to conduct the initial assessment visit within the 48 hours of completing the referral and failed to notify the patient’s home health physician of the delayed admission for 9 of 20 patients (Patients #104, #105, #108, #109, #110, #111, #115, #119, and #120).

The agency failed to document Home Health Aide (HHA) Supervisory visits no less frequently than every 14 days for 3 of 6 patients receiving HHA services (Patient #110, #112, and #120).