Baptist Village Retirement Communities of Oklahoma, Inc.

The agency failed to ensure utilization of OASIS data to improve program effectiveness, quality of patient care and overall program improvement for all future patients.

The agency failed to ensure development of an individualized plan of care for one (Patient #1) of eleven patients.

The agency failed to ensure initiation and evaluation of PIPs included areas for improvement for the agency.

The agency failed to ensure supervisory visits were completed every 14 days for one (Pt #6) of three patients with CHHA services.

The agency failed to ensure clinical documentation was complete, dated and signed for two (Pt #5 and 7) of 7 patients.

The agency failed to ensure the promotion of patient rights to verbalize a complaint with the expectation of follow-up measures to attempt to meet patient needs for one (Pt #1) of seven patients.

The agency failed to develop an individualized plan of care and ensure the POC included all required elements for the provision of safe services for two (Pt #5) of seven patients reviewed.

The agency failed to ensure PT visits were provided in accordance with the POC ordered frequency for one (Pt #4) of four patients with orders for PT services.

The agency failed to ensure CHHA visits were made in accordance with the ordered frequency for one (Pt 2) of three patients with CHHA services.

The agency failed to ensure CHHA visits included documentation of task completion for one (Pt #6) of three patients with CHHA services.