Blue Mountain Hospital District

The agency failed to include patient-specific measurable outcomes and goals on the individualized plan of care that is signed by the physician for 2 of 5 active patient medical records reviewed (Patients #1 and #4).

The agency failed to include complete medication orders on the individualized plan of care for 3 of 5 active patient medical records reviewed (Patients #1, #2 and #5).

The agency failed to electronically transmit each completed OASIS assessment to the CMS system within 30 days of completing the assessment of the beneficiary for 45 of 468 assessments processed.

The agency failed to ensure the registered nurse performed an initial assessment visit within 48 hours of referral for 1 of 7 patient records reviewed (Patient #7).