Kanabec County Community Health

The agency failed to ensure the information included in the comprehensive assessments was current when the agency documented assessment information based on a previous nurse visit for 5 of 9 patients (P9, P4, P2, P3, P5) and failed to update and revise the comprehensive assessments for skilled…

The agency failed to conduct a comprehensive assessment that accurately reflected the patient's status for 5 of 9 patients (P9, P4, P2, P3, P5) reviewed, when the comprehensive assessments were completed based on a previous skilled nurse visit, and not while in the patient's home.

The agency failed to provide services as ordered in the Plan of Care (POC) and failed to inform the physician of services that were not provided for 4 of 9 patients (P4, P2, P3, P5) reviewed for receiving services as indicated per the POC.

The agency failed to ensure 1 of 9 patients (P1) was informed in writing, of the extent of payment from Medicare/Medicaid or the expected out-of-pocket cost to the patient for the services when a change occurred in the payer source.

The agency failed to ensure each patient had an initial assessment visit on the physician-ordered start of care date for 1 of 9 patients (P7) reviewed, in the sample.

The agency failed to update and revise the comprehensive assessments for skilled patients, the last 5 days of every 60 day certification period, beginning with the start of care (SOC) date, for 8 of 9 patients (P2, P1, P3, P4, P8, P9, P5, P6) reviewed.

The agency failed to identify frequency or duration of visits to be made, on the plan of care (POC) for 2 of 9 patients (P8, P7), reviewed in the sample.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days by a registered nurse (RN) for 3 of 3 patients (P5, P3, P4) reviewed, who received skilled services prior to the Home Health Agencies: CMS (Centers for Medicare & Medicaid Services) Flexibilities…