Choice Health at Home - Western Oklahoma Home Health

The agency failed to ensure evidence of a patient centered QAPI Program for calendar year 2021 for all patients and employees.

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

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

The agency failed to ensure the initiation and review of a PIP through their QAPI Program in calendar year 2021 for all patients and employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities in calendar year 2021 for all patients and employees.

The agency failed to ensure: its infection control program included surveillance monitoring and reporting and was included in QAPI program activities for calendar years 2021 for all patients and staff.

The agency failed to ensure an individualized patient POC included pain reporting parameters for one (Patient #2) of eight patients.

The agency failed to ensure services were provided as ordered on the POC for: SN to visit frequencies as ordered by the physicians for one (Patient #1) of eight patients; OT evaluations for two (Patients #2 and #3) of eight patients; PT visit frequency for two (Patients #3 and #5) of eight patients.

The agency failed to ensure: 1. CHHA visit notes were completed for one (Patient #1) of eight patients and; 2. PT clinical visit notes were completed for one (Patient #4) of eight patients.

The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for calendar year 2021 for all patients and employees.

The agency failed to ensure the development of a community-based risk assessment (All Hazards Risk Assessment) for all employees and 187 current patients.

The agency failed to ensure advance beneficiary notices were provided to three (Pt's #2, 3, and #4) of five patients.

The agency failed to complete a comprehensive assessment following a hospital stay for one (Patient #16) of 17 patients.

The agency failed to provide a physical therapy evaluation for one (patient #15) for 17 patients.

The agency failed to ensure completion of a discharge summary for two (Pt's #2 and #12) of five patients.