Caresense Health, LLC

The agency failed to ensure the transmittal of OASIS data for agency patients receiving skilled services, over eighteen years of age, with a Medicaid payor source for six (6) out of seven (7) CR’s reviewed (CR#1-CR#4, CR#6, and CR#7).

The agency failed to ensure that at least one other covered therapeutic service was offered, in addition to skilled nursing services, for 2020 and 2021. Review of policy “Services Furnished and Written Agreements/Contracts Among Providers” on 12/21/21 at approximately 2:00 PM states” Agency will…

The agency failed to ensure documentation of a facility-based and community-based risk assessment for 2018-2019. Findings include: Review of policy "Agency Facility-Based and Community-Based Risk Assessment Policy" states the following "CareSense will perform a facility-based and community-based…

The agency failed to ensure documentation of the facility's efforts to contact any local, regional, State, and Federal emergency preparedness officials for 2018-2019. Findings include: Emergency Preparedness Documentation for 2018-2019 was reviewed on 5/06/2019 at approximately 10:00 AM.

The agency failed to ensure the individualized plan of care to include all treatments provided by the agency for two (2) out of seven (7) clinical records (CR) reviewed (CR#3 and CR#5).

The agency failed to ensure documentation of physician's orders for patient treatments provided by the agency, to be included in the clinical record, for two (2) out of seven (7) clinical records (CR) reviewed (CR#3 and CR#5).

The agency failed to ensure documentation of an initial competency for all patient care staff for six (6) out of seven (7) personnel files (PF) reviewed (PF#1-PF#5, PF#7).