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Inspection 2024-05-16
· Complaint, Recertification · 6 deficiencies · CMS source report (PDF)The agency failed to ensure documentation of a patient complaint for one (Patient #9) of nine patients.
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The agency failed to ensure start of care within 48 hours of referral for eight (Patients #2, 3, 4, 5, 6, 7, 8 and #9) of nine patients.
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The agency failed to ensure individualized patient POC included: 1. Pain monitoring and reporting parameters for physician notification for two (patients #1 and #3) of nine patients and; 2. Identified wound site care for one (Patient #3) of nine patients.
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The agency failed to notify the physician of changes in conditions for one (Patient #7) of nine patients.
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The agency failed to ensure SN conducted wound site assessment with measurements weekly for one (Patient #4) of nine patients.
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The agency failed to ensure SN visit note documentation was completed within 24 hours of the visit for one (Patient #2) of nine patients.
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Inspection 2021-05-19
· Recertification · 4 deficiencies · CMS source report (PDF)The agency failed to ensure an advance beneficiary notice was provided to one (Patient #1) of seven patients.
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The agency failed to ensure an individualized patient POC included recurring urinary catheter change due dates for one (Patient #6) of seven patients.
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The agency failed to ensure physician notification of patient discharge from the HHA prior to an admission to hospice services for one (Patient #2) of seven patients.
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The agency failed to ensure SN performed weekly weights as ordered in the POC for one (Patient #4) of seven patients.
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Inspection 2018-09-19
· Recertification · 2 deficiencies · CMS source report (PDF)The agency failed to ensure one (Pt #3) of 10 patients had access to their current plan of care.
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The agency failed to ensure physician notification of missed visits for two (Pt #1 and 12) of seventeen patients.
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