Signature Healthcare at Home

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.

The agency failed to accurately complete the Outcome and Assessment Information Set (OASIS) data for M0102 that requires notifying the physician and obtaining a physician order for an updated Start of Care (SOC) date for 7 of 17 patients (Patients #101, #102, #105, #106, #109, #113, and #114).

The agency failed to document patient-specific measurable outcomes as a result of the individualized wound care the patient received for 5 of 17 patients (Patient #306, #308, #309, #311, and #316).

The agency failed to conduct the initial assessment visit within 48 hours of completing the referral and notifying patients or their legal representative of the delayed services for 5 of 17 patients (Patients #101, #102, #109, #114, and #116).

The agency failed to complete the comprehensive assessment that included therapy evaluations within five calendar days of the start of care date for 3 of 10 active patients (Patient #101, #107, and #110).

The agency failed to ensure that they maintained compliance with all Washington State licensing regulations as defined in the Washington Administrative Codes (WAC) 246-335 (as well as associated Revised Codes of Washington - RCWs) in the areas of patients' rights (impacting all sample patients)…

The agency failed to coordinate services to assure patient safety goals for 1 of 20 patients in the survey sample (Patient #6).

The agency failed to document notes in the clinical record of their Inter-Disciplinary Team (IDT) conferences for 16 of 20 patients in the survey sample (Patients #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #14, #15, #17, #19, and #21).

The agency failed to ensure the Plan of Care (POC) was followed as ordered by the Physician for 2 of 20 sample patients (Patients #3 and #4).

The agency failed to ensure appropriate Physical Therapy discharge documentation was in the clinical record for 1 of 20 patients (Patient #4).

The Agency failed to ensure 3 of 20 patients were admitted within 48 hours of referral or physician-ordered start of care (Patient #1, #5 and #11).