Best Healthcare Services

The agency failed to electronically transmit completed OASIS (a standardized data set that measures the quality and outcomes of home health patients) assessments to the CMS system for all Medicare patients within 30 days of completing the OASIS assessment of the beneficiary (patient) for 27.59% (32…

The agency failed to follow their agency policy to ensure notes were written on the day of service and incorporated into the patient record within 14 days in two of seven records reviewed (Patient 2 and 3) who received skilled nursing services.

The agency failed to maintain a Quality Assessment Performance Improvement (QAPI) program that addressed and immediately corrected identified problems that directly or could potentially threaten the patient care and safety, in that the Agency did not have or complete a Performance improvement…

The agency failed to implement a policy that required the Agency to measure, analyze and track quality indicators to assess care services and operations.

The agency failed to implement Performance improvement activities that track adverse patient events, analyze their causes, and implement preventative actions.

The agency's Governing Body failed to ensure that the Agency developed, implemented and maintained a Quality Assessment Performance Improvement program to ensure an ongoing program for quality improvement and patient safety was defined implemented and maintained from 08/20/18 to 08/20/21. This…

This is a continuing deficiency previously cited on 04/25/18. Based on record review and interview, the agency's governing body failed to ensure the agency's Quality Assessment and Performance Improvement Program (QAPI) was reviewed and updated/revised twice within the calendar year of 2018. This…

The Administrator failed to be responsible for all day-to-day operations of the agency, in that: 1) The Administrator failed to maintain a Quality Assessment Performance Improvement (QAPI) program that addressed and immediately corrected identified problems that directly or could potentially…

The agency failed to maintain an emergency preparedness plan that was reviewed and updated at least annually for the years 2015, 2016, and 2017. This failure placed the agencies 32 patients and staff at potential risk of harm from an area natural or man-made emergency or disaster by being unaware…

The agency's governing body failed to ensure the agency's Quality Assessment and Performance Improvement Program was reviewed and updated/revised at least once within the calendar years of 2015, 2016 and 2017. This failure did not allow the agency to identify operational and service occurrences…

The agency failed to provide a copy of the agency's transfer/ discharge policy to 1 (Patient 1) of 1 patient within 4 business days of the initial evaluation visit in accordance with the January, 2018 federal Conditions of Participation (CoPs).

The agency failed to provide a copy of the most current written visit schedule regarding when to expect care and services to 3 (Patient 1, 2, 3) of 3 patients in accordance with the January, 2018 Center for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs).