Lifeline Healthcare Services, Inc

The agency failed to meet the Condition for Comprehensive Assessment of Patients as evidenced by: Refer to G520: Based on observation, record review and interview the agency failed to ensure comprehensive assessments were completed within 5 calendar days after the start of care for 4 (Patient’s #1…

The agency failed to meet the Condition for Care Planning, coordination of services and quality of care as evidenced by: Refer to G572: Based on observation, record review and interview, the agency failed to ensure Plans of Care were developed to include all required items in CFR 484.60(a)(2)…

The agency failed to encode and electronically transmit each completed OASIS assessment (a tool used by CMS to collect certain patient information) to the CMS system within 30 days of completing the assessment of the beneficiary for 43 OASIS assessments submitted during 01/01/2024 to 01/01/2025 for…

The agency failed to ensure Plans of Care were developed to include all required items in CFR 484.60(a)(2), measurable outcomes and goals for 4 (Patients #1, 2, 3 and 4) of 4 current patients.

The agency failed to ensure comprehensive assessments were completed within 5 calendar days after the start of care for 4 (Patient’s #1, 2, 3 and 4) of 4 current patients.

The agency failed to ensure comprehensive assessments reflected the patient’s current status and included a review of all medications for 4 (Patient’s #1, 2, 3 and 4) of 4 current patients.

The agency failed to update the comprehensive assessment at discharge for 3 (Patients #5, 6 and 7) of 3 discharged patient records reviewed.

The agency failed to ensure wound care treatments were administered only as ordered by a physician or allowed practitioner for 1 (Patient #10) of 1 discharged patient who received wound care treatments from agency staff after discharge.

The agency failed to conduct and document PIP(s) for calendar year 2019, 2020 and 2021 that reflected the scope, complexity and past performance of the agency's services and operations and the measurable progress achieved on the projects.

The agency failed to ensure the POC included safety measures to protect against injury and patient specific interventions for four of ten (Patient 3, 6, 7 and 8) records reviewed who received skilled services. . Patient 3, 6, 7 and 8 POC’s did not include bleeding safety measures for a blood…

The Adm/DON failed to ensure clinical and progress notes were written as required in five of ten (Patient 1, 2, 3, 4 and 5) records reviewed who received skilled services.