Cherokee Nation Home Health Services, Inc.

The agency failed to ensure an Emergency Preparedness Communication Plan showed employee contact information for the agency for 465 patients and 51 employees.

The agency failed to ensure utilization of QAPI quality indicator data to improve program effectiveness, quality of patient care and overall program improvement for 465 patients and 51 employees.

The agency failed to ensure the Infection Control Program surveillance data was included in QAPI program activities for 01/01/23 to 12/31/23 and 01/01/24 to 12/31/24 for 465 patients and 51 employees.

The agency failed to ensure an advance beneficiary notice or HHCOC notice was provided to two (Patients #14 and #15) of 17 patients.

The agency failed to ensure a medication profile was updated for ordered medications for one (Patient #5) of 17 patients.

The agency failed to ensure: 1. PT visits as ordered for one (Patient #4) of 17 patients.

The agency failed to ensure that multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for 01/01/23 to 12/31/23 and 01/01/24 to 12/31/24 for all patients and employees.