Caring Hands Home Care

The agency failed to encode and electronically transmit completed OASIS (Outcome and Assessment Information Set) assessments to the Center of Medicare and Medicaid (CMS) system within 30 days of completing the assessment of the patient for 5 of 5 (P8, P9, P10, P11, P12) patients sampled from Oasis…

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 1 of 7 patients (P1) reviewed, in the sample.

The agency failed to develop policy and procedures in the emergency preparedness plan to include the use of volunteers in an emergency or other emergency staffing strategies, as well as methods to contact off-duty staff during an emergency.

The agency failed to include the names and contact information for staff, entities providing services under arrangement, patients' physicians and volunteers in their emergency preparedness plan as required.

The agency failed to document contact information for federal, state, tribal, regional, and local emergency preparedness staff, as well as other sources of assistance.

The agency failed to conduct exercises to test their emergency plan as required.

Agency failed to ensure visits were conducted in accordance with physician orders for 1 of 9 patients (P4) and failed to notify the physician when the visits were not conducted according to the plan of care (POC).

The agency failed to identify specific performance measures for implementation to improve the patient outcomes related to medication safety, hospitalization, emergency room visits, nutrition, falls, and malnutrition as indicated on the tracking spreadsheet.

The agency failed to implement an infection control program that included tracking, trending and analysis of client and staff infections.

The agency failed to ensure two of six employees (E)-A, and E-B were vaccinated with a complete primary series of COVID-19 vaccine and/or had an approved or pending exemption on record.

The agency failed to ensure a comprehensive assessment was conducted to ensure a change of condition was communicated to the patient's physician for 1 of 3 patients (P3) whose condition was reviewed during home visits.

The agency failed to ensure a comprehensive drug regimen review was conducted to ensure the accuracy of all medications/dosages for 2 of 3 patients (P4 and P3) whose medications were reviewed during home visits.

The agency failed to complete a comprehensive discharge assessment when the agency discharged a patient from skilled nursing care for 1 of 2 skilled patients (P7), reviewed.