Keyes 2 Life Health Services LLC

The agency failed to ensure they attempted to submit OASIS information for their patients who received skilled care for 6 of 6 active clinical records reviewed with SN services.

The agency failed to ensure the comprehensive assessment was completed and accurately reflected the patient's health condition for 7 of 7 active clinical records reviewed.

The agency failed to ensure the POC included all required elements for 7 of 7 active clinical records reviewed.

The agency failed to ensure they received orders for a patient's recertification prior to the POC signed by the physician for 1 of 1 active clinical record reviewed with a patient receiving wound care and had a recertification assessment completed.

The agency failed to ensure the physician was notified of the need for a change to the POC and a change in condition for 2 of 2 active clinical records reviewed with wound care performed.

The agency failed to ensure the nursing documents were specific of the wound care performed for the patient for 2 of 2 active clinical records reviewed with wound care performed (Patients #1 and #2) and included an overall look of a patient's chest port for 1 of 1 active clinical records reviewed…

The agency failed to ensure during SN home visits, the RNs performed a complete and full assessment for 3 of 3 SN home visits.