Interim Healthcare of Oklahoma City, Inc

The agency failed to ensure completion of a transfer/discharge summary for two (Patients #2 and #9) of 17 patients.

The agency failed to ensure physician follow up communication of care for missed and/or patient refusal of skilled nursing visits for one (Patient #6) of 17 patients.

The agency failed to ensure the administrator’s name and contact information for agency complaints was a part of the admission packet for all patients.

The agency failed to ensure advance beneficiary notice and/or HHCOC notice prior to discharge from agency services were provided to two (Patients #3 and 5) of 17 patients.

The agency failed to ensure a discharge oasis was completed by the agency for one (Patient #10) of 17 patients.

The agency failed to ensure physician orders were a part of the patients’ plans of care for: 1. SN to administer daily medications and perform SN interventions to change continuous glucose monitoring device sensors for three (Patients #12, 13 and #16) of 17 patients and; 2. SN wound site care and…

The agency failed to ensure: 1. Physician ordered wound care dressing materials for one (Patient #7) of 17 patients; 2. Physician ordered MSW consult for one (Patient #9) of 17 patients and; 3. Physician ordered SN for indwelling urinary catheter treatment interventions for one (Patient #11) of 17…

The agency failed to ensure: 1. Coordination of care with the physician after physical therapy evaluation to establish a treatment plan and visit frequency for five (Patients #2, 4, 5, 7 and #11) of 17 patients; 2. Coordination of care with the physician after occupational therapy evaluation to…

The agency failed to ensure: 1. ST evaluation was conducted for one (Patient #1) of 17 patients; 2. OT visit were conducted as ordered for two (Patients #2 and #5) of 17 patients; 3. SN visit were conducted as ordered for two (Patients #4 and #6) of 17 patients; 4. CHHA visit were conducted as…

The agency failed to ensure SN visit note documentation was complete for two (Patients #13 and #15) of 17 patients.

The agency failed to ensure a completed transfer/discharge summary was provided for three (Patients #1, 2 and #6) of eight patients.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for 734 patients and all employees.

The agency failed to ensure physician orders were obtained for: 1. physical therapy visit frequency for two (Patient #3 and #4) of five patients and; 2. skilled nurse visit frequency for one (Patient #3) of five patients.

The agency failed to ensure physician notification of patient request to place home health services on hold for one (Patient #2) of five patients.

The agency failed to ensure the review/revision of the community-based risk assessment (All Hazards Risk Assessment) for all employees and 564 current patients Findings: A review of agency administrative records and emergency preparedness records showed a facility-based and community-based risk…

The agency failed to ensure the initial assessment was performed within 48 hours of the referral for one (Pt #1) of seventeen patients.

The agency failed to ensure: 1) the ordered frequencies were followed for one (Pt #7) of seventeen patients; 2) wound care was completed as ordered for one (Pt #11) of seventeen patients; 3) ordered measurements were completed for one (Pt #11) of seventeen patients.

The agency failed to ensure the physician was notified of missed visits for two (Patient #7 and 14) of seventeen patients.

The agency failed to ensure POC orders included: 1) the reason for PRN SN visits for six (Pt #1, 2, 9,10, 13 and 14) of seventeen patients; 2) VS and/or pain parameters for two (Pt #2 and 3) of seventeen patients; 3) the correct medication route instructions for one (Pt #4) of seventeen patients…

The agency failed to ensure an order was obtained by a physician foran increased SN frequency for one (Pt #6) of 17 patients.

The agency failed to ensure PT services were provided per POC orders for one (Pt #8) of six patients with orders for PT services.

The agency failed to ensure PT completed an evaluation per the POC for one (Pt #3) of six patients with orders for PT evaluations.

The agency failed to ensure HHA visits were made per ordered POC frequencies for two (Pts #9 and 16) of six patients with HHA services.

The agency failed to ensure an RN supervisory visit was made every two weeks for one (Pt #11) of six patients who received HHA services.