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Inspection 2025-06-27
· Recertification · 4 deficiencies · CMS source report (PDF)In a 12-month period the agency did not transmit seventy-four OASIS assessments to the CMS system within 30 days of completing initial assessments, as required by regulation 484.45(a).
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The agency staff did not communicate delays in the start of care (SOC) for 3 out 16 patients reviewed.
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Physician orders were not followed for 2 out of 16 patients reviewed.
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Failure to comply with regulations places patients at risk for inadequate health care.
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Inspection 2022-06-28
· Recertification · no deficiencies cited · CMS source report (PDF)Inspection 2018-08-16
· Recertification · 5 deficiencies · CMS source report (PDF)The agency's skilled professional (SP) failed to perform an accurate assessment for monitoring of a central line catheter for 2 out of 3 patient's reviewed with central line catheters.
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Infection control prevention was not implemented during the provision of patient care by the skilled professional (SP) for 2 out of 7 patients observed.
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The agency's skilled professionals (SPs) did not provide 1 out of 1 newly admitted patient with the required patient rights information.
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The skilled nurse (SN) failed to notify the patient's physician of a patient's change in status.
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The skilled professionals (SPs) failed to integrate all necessary disciplines for 1 out of 17 patients reviewed.
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