Essentia Health Home Care West

The home health agency failed to meet the Condition of Participation: G570 at 42 CFR 484.60, Care Planning, Coordination, Quality of Care.

The facility failed to report all Outcome and Assessment Information Sets (OASIS) data collected in accordance with federal regulations for timely submission.

The agency failed to complete a comprehensive reassessment the last 5 days of each 60-day certification period, beginning with the start of care (SOC), for 1 of 1 patient (P4) who received skilled home care services.

The agency failed to ensure the plan of care (POC) included all required components for 5 of 17 patients (P4, P12, P17,P13, and P8) whose records were reviewed.

The agency failed to provide home health aide, occupational and physical therapy services as ordered on referral or notify physician when the services were not needed for 1of 17 patients (P4) reviewed for referrals.

The agency failed to maintain a clinical record that contained current information for every patient receiving home health services for 2 of 17 patients (P6, P14) whose records were reviewed.

The agency failed to assess 1 of 14 patients (P6) for diabetic management, compliance and response with treatment, medications, potential side effects of disease as ordered for a patient who's primary diagnosis was diabetes.

The agency failed to ensure 1 of 13 patients (P8) was informed or consented to services or care being provided, including any ongoing changes in services.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 2 of 13 patients (P9, P14) reviewed, in the sample.

The agency failed to ensure the plan of care (POC) included durable medical equipment (DME) used by 6 of 13 patients (P2, P6, P9, P10, P13, P14) who had documented medical equipment and supplies being used in the home.

The agency failed to provide 1 of 3 patients (P5) with information required related to other available Home Care providers, at the time of a facility initiated discharge.

The agency failed to immediately report an allegation of misappropriation of property for 2 of 4 patients (P1, P2) reviewed for reporting requirements.

The agency failed to ensure supervisory visits of home health aides (HHA's) were completed every 14 days for 3 of 3 patients (P4, P5, and P6) reviewed who had a home health aide and skilled nursing services.