Hygia Healthcare LLC

The agency failed to develop and maintain an emergency preparedness plan that included a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach (preparing for a wide range of potential threats and disasters to minimize the impact of any event) for 3 (2022…

The agency failed to encode and electronically transmit each completed OASIS assessment (a tool used by CMS to collect and report patient information for quality improvement and monitoring) to the CMS system within 30 days of completing the patient’s assessment for 122 OASIS assessments submitted…

This failure was previously cited during the survey dated 04/25/2022. Based on record review and interview the agency failed to conduct performance improvement projects for 3 (2022, 2023, and 2024) of 3 years.

The agency failed to provide the name, address, and phone number for the Agency on Aging location in Tarrant County and failed to provide the correct name and phone numbers for the Quality Improvement Organization (QIO) for 7 (Patients 1,2,3,4,5,6, and 7) of 7 patients’ records reviewed.

The agency failed to include in the plan of care an individualized description of the patient's risks for emergency department visits and hospital readmissions to address the underlying risk factors for 3 (Patients 5, 8 and 9) of 17 patient records reviewed.