Sunshine Home Health Services, Inc

The agency failed to transmit the Outcomes and Assessment Information Set (OASIS, an assessment tool) data to the Centers for Medicare and Medicaid Services (CMS) within 30 days of completion for one of 7 sampled patients (Patient 2) . Findings: Review of the clinical record for Patient 2 indicated…

The agency failed to conduct a thorough review of patient's medications when the medication profile was not updated for two of 7 sampled patients (Patient 6 and Patient 5).

The agency failed to ensure Skilled Nursing (SN) visits were consistent with the patient's Plan of Care (POC) and completed as ordered by the physician for one of 7 sampled patients (Patient 6).

The agency failed to provide treatments and services ordered by a physician and included in the Plan of Care (POC) for one of 7 sampled patients (Patient 2) when: 1. Skilled Nursing (SN) did not follow physician's order to assess and record Patient 2's weekly weights; and, 2. A Physical Therapy…

The agency failed to notify the attending physician of missed visits for one of 7 sampled patients (Patient 6).

The agency failed to complete a discharge summary in a timely manner for one of 7 sampled patients (Patient 2).