Diversified Family Services, LLC

Current and discharged clinical record reviews the home health agency failed to ensure an OASIS (Outcome and Assessment Information Set) (a standardized, patient-specific assessment information that Home Health Agencies must collect to participate in the Medicare program that determine…

The home health agency failed to ensure all home health and other agency staff members, providing care and services to a patient (client), were engaged in an ongoing, effective coordination of care and interchange, regarding the patient, for one of five current sampled patients, (Patient 3).

The Clinical Manager failed to assume the responsibility to: 1. Ensure each completed Skilled Nurse Recertification Assessment OASIS (Outcome and Assessment Information Set) (a standardized, patient-specific assessment information that Home Health Agencies must collect to participate in the…

Current and discharged clinical record reviews and staff interviews the home health agency failed to ensure the contents of each clinical record were complete to include: 1. Completed documentation of all vital signs, in the vital signs section of all skilled nurses' notes, for three of five active…

The home health agency failed to ensure each patient's plan of care was individualized to include the correct frequency of visits ordered by the physician for two of five current sampled patients, (Patient 2 & 3) and one of two discharged sampled patients, (Patient 6).