At Home Healthcare

The agency failed to electronically transmit current and accurate data regarding each beneficiary with respect to which information was required to be transmitted within 30 days of completing the assessment of the beneficiary for 2 of 2 focus sample records reviewed (Focus Sample A and B) whose…

The agency failed to coordinate care delivery to meet the patient’s needs for 1 of 4 patient records reviewed who were receiving skilled nursing services related to wound care (Patient #6).

The agency failed to ensure services were provided in accordance with physician's orders for 2 of 3 patients reviewed requiring Home Health Aide (HHA) services (Patients #3 and #7).

The agency failed to ensure all patient medications were reviewed and reconciled to identify new, discontinued, or changed medications as required at the time of admission for 1 of 1 patient records reviewed who was readmitted for exacerbation of a previously healed wound (Patient #2).

The agency failed to ensure services and treatments were provided in accordance with physician's orders for 3 of 10 patients reviewed (Patients #2, #3, and #6).

The agency failed to ensure each patient's total plan of care was reviewed by the physician at least every 60 days.

The agency failed to ensure clinical records contained accurate documentation of patient's clinical notes and plans of care for 2 of 10 patient records reviewed (Patients #7 and #10).