Legacy Visiting Health Services
Inspection 2025-02-13
· Recertification · 4 deficiencies · CMS source report (PDF)The agency failed to ensure each completed Outcome and Assessment Information Set (OASIS) assessment was encoded and electronically transmitted to the Centers for Medicare & Medicaid Services (CMS) system within 30 days of completion.
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The agency failed to ensure the Quality Improvement Program measured, analyzed, and tracked quality indicators, that enable the agency to assess processes of care and services.
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The agency failed to ensure the Centers for Medicare & Medicaid Services (CMS) Outcome and Assessment Information Set (OASIS) Privacy Notice was given to the patients on admission.
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Staff interview the agency failed to ensure the home health aide (HHA) followed the HHA Care Plan developed by the registered nurse (RN).
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