Sky Lakes Home Health

The agency failed to follow accepted standards of practice to prevent the transmission of infections for 1 of 4 home visits observed.

The agency failed to ensure the registered nurse or applicable rehabilitation skilled professional performed an initial assessment to determine the immediate care and support needs of the patient within 48 hours of referral, or within 48 hours of the patient's return home, for 3 of 7 active patient…

The agency failed to ensure the individualized plan of care included complete medication orders for 4 of 7 active patient clinical records reviewed (Patients #4-7).

For 1 of 5 patients (Patient 4), the agency failed to ensure a physician was promptly notified of changes in patient's condition that suggest a need to alter the plan of care.

The HHA failed to review and update the comprehensive emergency preparedness plan at least annually.

The agency failed to provide HHA staff emergency preparedness training at least annually.

The agency failed to participate in a community-based or individual facility-based full-scale exercise during the preceding year.

The agency failed to electronically transmit each completed OASIS assessment to the CMS system within 30 days of completing the assessment of the beneficiary for 135 of 2649 assessments processed.

The agency failed to ensure direct patient care staff followed accepted standards of practice and agency policy for the prevention of infection transmission.

The agency failed to advise patients of the correct toll-free home health agency hotline number for the State of Oregon in accordance with this rule.

The home health agency failed to hold an initial visit within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician-ordered start of care date for 1 of 17 patient records reviewed (Patient 12).

The agency failed to include an individualized description of the patient's risk for emergency department visits and hospital re-admission and the interventions to address the underlying risk factors on the care plan for 12 of 12 active patient care plans reviewed, (Patients 1, 2, 3, 4, 5, 11, 12…

In two of these records (record numbers 2 and 17) the agency failed to provide evidence that a supervisory visit had been made every 2 weeks as required.