Interim Healthcare

Specifically, the agency failed to implement and maintain an effective process for the monitoring and coordination of modifications and revisions to the plan of care regarding INR (international normalized ratio - a test used to monitor the anticoagulation efficacy of Coumadin/Warfarin) results and…

The agency failed to encode and submit OASIS data within 30 days of the completion of the comprehensive assessment for the second quarter of 2019. Findings include: Regulation 484.45(a) - Encoding and transmitting OASIS: "An HHA must encode and electronically transmit each completed OASIS…

The agency failed to ensure communication with all physicians involved in the plan of care; failed to integrate orders to ensure the coordination of all services and interventions provided to the patient; and failed to coordinate care delivery to meet the patient's needs for five of five patients…

The agency failed to ensure the clinical manager (who is also the Director of Health Care Services (DHCS) provided oversight of all patient care and services, including coordination of all services and interventions provided to the patient to ensure needs were met and ensure ongoing assessment of…

The agency failed to ensure each patient's Plan of Care covered all pertinent treatments and medications for 2 of 5 patients reviewed with anticoagulation therapy (Patients #3 and #8).

The agency failed to record all patient care orders in the plans of care for 3 of 5 patients reviewed who received anticoagulation therapy (Patient's #3, #8 and #18).

The agency failed to establish a quality assessment and performance improvement (QAPI) program, inclusive of performance improvement activities that focused on high risk, high volume or problem-prone areas.

The agency failed to ensure ongoing interdisciplinary assessment occurred to re-evaluate the nursing needs for 1 of 13 patients reviewed who received skilled nursing (SN) services (Patient #8).

The agency failed to ensure a registered nurse (RN) or other appropriate skilled professional familiar with the patient, the patient's plan of care and the written patient care instructions made an onsite visit to the patient's home no less frequently than every 14 days to conduct certified nurse…

The Administrator failed to adequately and effectively organize and direct the agency's day-to-day operations.