Divine Healthcare Network

The agency failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) to CMS within 30 days of completing the assessment of the client.

The agency failed to reschedule missed visits, notify the physician, or provide education or documentation of the potential clinical impact of missed treatments or services for 3 of 3 patients (P2, P3, P8).

The agency failed to ensure all patient care orders, were part of the plan of care for 2 of 2 patients (P3, P5) reviewed for medication administration.

The agency failed to ensure clinical notes were entered for 1 of 1 patient (P4) receiving skilled nursing services.

The facility failed to ensure every home health agency (HHA) skilled professional, contributed to all phases of the QAPI program.

The facility failed to meet the Conditions of Participation for development of an emergency preparedness (EP) program that met all of the standards specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the staff and client population…

The home health agency (HHA) failed to develop an emergency preparedness (EP) plan that included all required components specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the staff and client population during an emergency or…

The home health agency (HHA) failed to develop and implement plans for the HHA's patients during a natural or man-made disaster.

The home health agency (HHA) failed to ensure visits were conducted in accordance with physician orders for 2 of 7 patients (P21, P11), and failed to notify the physician when the visits were not conducted according to the plan of care.

The home health agency (HHA) failed to ensure a complaint was properly documented and followed up on for 1 of 3 patients (P11) who verbalized a complaint regarding staffing and personal care assistant performance.