Carter Healthcare of Southwest Oklahoma, LLC

The agency failed to ensure: 1. the physician was notified of PT and SN missed visits for two (Patients #1 and 4) of nine patients; 2. SN frequencies were followed as ordered for two (Patient #4 and 6) of nine patients; 3. SN notified the physician of systolic blood pressure outside the ordered…

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for six patients and current employees.

The agency failed to ensure governing body oversite of an operating budget and allocation of resources for calendar year 2023 effecting six patients and all staff.

The agency failed to ensure a PT evaluation was conducted as ordered for one (Patient #3) of nine patients.

The agency failed to ensure development of a dated community-based risk assessment (All Hazards Risk Assessment) which identified the agency and it's branch operations for 199 patients and all employees.

The agency failed to ensure an emergency preparedness disaster table top exercises and drills were conducted for calendar year 2019 for all patients and staff members.

The agency failed to ensure evidence of a patient centered QAPI Program for 199 patients and all employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for 199 patients and all employees.

The agency failed to ensure conduction of patient centered QAPI Program activities for 199 patients and all employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 199 patients and all employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities for 199 patients and all employees.

The agency failed to ensure a comprehensive infection control program was conducted for 199 patients and all employees.

The agency failed to ensure governing body oversite of: 1. patient centered QAPI Program and; 2. operating budget and allocation of resources for calendar years 2019 and 2020 effecting 199 patients and all staff.

The agency failed to ensure notice of non-coverage was provided prior to discharge from agency services for one (Patient #13) of four patients.

The agency failed to ensure the individualized patient POC included pain management interventions and pain reporting ranges for three (Pt's #5, 6 and #7) of 13 patients.

The agency failed to ensure services were provided as ordered in the POC for: 1. notification of patient weight gain greater than 5 pounds or more in 1 week for two (Pt's #4 and #5) of 13 patients; 2. SN visit frequency for one (Patient #5) of 13 patients and; 3. Timely OT evaluation for one…

The agency failed to ensure a completed discharge summary was provided for four (Pt's #10, 11, 12 and #13) of four patients.

The agency failed to ensure five (Pt # 8, 9, 10, 11 and 12)of 15 patients had access to their current plan of care.