Big Sky Home Health

Findings include: The agency failed to ensure the parent HHA provided direct support and administrative control of its branches for day-to-day management (see G974).

The agency failed to ensure patients' plan of care was detailed and individualized, reflecting current advance directives, for 2 (#s 2 and 3) of 7 sampled patients.

The agency failed to ensure clinical staff completed competency in-service trainings.

The agency failed to provide supervision and administrative control of it's branches daily operations.

The agency failed to ensure the transmitted OASIS data was consistent with current status of the patient at the time the OASIS was completed for 3 (#s 3, 5 and 6) of 7 sampled patients.

The agency failed to ensure the current frequency and duration of visits to be made was updated on the plan of care for 2 (#s 5 and 6); and failed to ensure the Orders for Treatments (interventions) and Goals and Outcomes were updated for provided occupational therapy services for 1 (#6) of 7…

The agency failed to provide the patient with updated instructions based on changes made to the physician ordered POC (485) for 3 (#s 1, 2 and 3 of 7 sampled patients.

The agency failed include the measurable outcomes, interventions, and goals of the ordered services for 2 (#s 1 and 3) of 7 sampled patients.

The agency failed to update the POC (485) when services were added during the patients' certification period for 3 (#s 1 and 3) of 7 sampled patients.

The agency failed to provide the patient with written instructions which outlined all disciplines providing services, and the frequency of which they were to be provided for 4 (#s 1, 2, 3 and 4) of 7 sampled patients.

The agency failed to ensure MSW services were provided for the patient as outlined in the physician ordered POC (485) for 1 (#2) of 7 sampled patients.