Sea Mar Home Health

The agency failed to conduct the initial assessment visit within 48 hours of completing the referral (repeated non-compliance from previous surveys) and failed to complete the comprehensive assessment within 5 calendar days of the patients' start of care (repeated non-compliance from previous…

By failing to complete and/or renew criminal history background checks and complete department-approved disclosure statements consistent with state regulations for both the current survey and the survey completed on 10/01/21. Repeated non-compliance with state regulations for completion of criminal…

The agency failed to transmit patient data to the Centers for Medicare and Medicaid Services (CMS) database in a timely manner for 95 of 395 records transmitted between 05/01/23 and 04/01/24. Failure to transmit patient data in a timely manner could result in patients not receiving full benefits.

The agency failed to communicate with the patient's physician of Skilled Nursing (SN) missed visits resulting in changes to patient's plan of care in 2 of 3 patients (Patient #201 and #202).

The agency failed to ensure that staff received Tuberculosis (TB)- related training and education at the time of hire or during new employee orientation.

The agency failed to complete and/or renew criminal history background checks and complete department-approved disclosure statements for 3 of 3 personnel providing direct care (Staff #402, #403 and #404).

The agency failed to conduct the initial assessment visit within 48 hours of receiving a referral for 5 of 7 patients (#201, #202, #405, #406, #407).

The agency failed to complete initial assessments within 5 calendar days of the start of care for 3 of 7 patients (#404, #406, #407).

The agency failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity, including providing optimal care to achieve the goals and outcomes identified in the patient's plan of care, for each patient's medical, nursing, and…

The agency failed to operationalize infection control policies and procedures that included an annual Tuberculosis (TB) risk assessment screening of Home Health staff consistent with State regulation for 3 of 3 staff (Staff #601, #602, and #603).

The agency failed to implement policies and procedures consistent with state licensing requirements for 7 of 7 patient files and 3 of 3 staff files reviewed, through failure to ensure the Bill of Rights (BR) informed patients of their right to the agency's policy on providing back-up care for 7…

The agency failed to ensure the Patient Bill of Rights (PBR) included the Washington State Department of Health's (DOH) complaint hotline number for 7 of 7 patients (Patients (#601, #602, #603, #604, #605, #606, and #607).

The agency failed to conduct the initial assessment visit within 48 hours of completed referral for 4 of 7 patients (Patients #601, #602, #603, and #604).

The agency failed to ensure comprehensive assessments were completed within 5 days from the start of care (SOC) for 1 of 7 patients (Patient #605).

The agency failed to include all the Medicare required elements in the individualized plan of care (CMS-485) for 7 of 7 patients (Patients #601, #602, #603, #604, #605, #606, and #607).

The agency failed to follow physician's orders for 1 of 7 patients (Patients #601).

The agency failed to schedule skilled nursing or professional services visits as ordered by the physician for 5 of 7 patients (Patients #602, #603, #605, #606, and #607), including failure to schedule skilled nursing (SN) visits, failure to schedule Physical Therapy (PT) visits, and failure to…

The agency failed to assure implementation of the plan of care for 6 of 7 (Patients #601, #602, #603, #605, #606, and #607).