Miracle Care, LLC

The agency failed to ensure physical therapy and home health aide services were provided as ordered by the physician for 1 of 6 (MR# 1) records reviewed in which these services were ordered, resulting in a lack of services and the potential for poor patient outcomes for this patient.

The agency failed to ensure the patient received written notice of patient rights, responsibilities, and the agency's transfer and discharge policies in advance of furnishing care for 7 of 7 (MR# 1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in a lack of patient rights information for the…

The agency failed to ensure patients were informed of the Administrator's name and business contact information during the initial evaluation visit for 7 of 7 (MR# 1, 2, 3, 4, 5, 6, 7) records reviewed , resulting in the potential for patient complaints or concerns to go unaddressed which could…

The agency failed to provide an OASIS privacy notice to patients for 7 of 7 (MR# 1, 2, 3, 4, 5, 6, 7) records reviewed in which OASIS data was collected, resulting in a lack of information regarding patient's privacy rights for all 20 patients admitted to the agency in the past 12 months.

The agency failed to inform patients of the appropriate phone number for the State of Michigan's toll-free hotline for 7 of 7 (MR# 1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in a lack of required information to enable patients or caregivers to voice complaints or ask questions.

The agency failed to advise patients of the addresses and telephone numbers of Federally funded and State funded entities that serve the areas where the patients reside for 7 of 7 (MR# 1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in a lack of information regarding available resources which has…

The agency failed to ensure the registered nurse conducted the initial assessment visit within 48 hours of referral, to determine the immediate care needs of the patient, including homebound status for 1 of 6 (MR#3) records reviewed in which Skilled Nursing services were ordered, resulting in a…

The agency failed to ensure a registered nurse notified the physician after conducting a review of the patient's medications for any potential adverse effects such as: side effects, drug interactions, and duplicate drug therapy for 4 of 7 (MR# 4, 5, 1, 7) records reviewed with major interactions.

The agency failed to ensure the plan of care included all interventions and measurable goals for 6 of 7 (MR# 4, 5, 6, 2, 3, 7) records reviewed, resulting in the potential for poor patient outcomes for these patients.

The agency failed to coordinate the delivery of physical therapy, occupational therapy, and home health aide services for 1 of 7 (MR# 7) records reviewed, resulting in the potential for functional decline for this patient.

The agency failed to ensure that skilled nursing services were provided at the frequency ordered by the physician for 4 of 7 (MR#4, 1, 2, 7) records reviewed in which nursing services were ordered, resulting in the potential for poor patient outcomes for these patients.

The agency failed to ensure the clinical record was complete and included skilled nursing and physical therapy clinical notes for 1 of 7 (MR#4) records reviewed, resulting in the physician not having a clear and concise clinical picture of the patient's health status and progress towards goals.

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge and failed to ensure a completed transfer summary was sent within 2 business days of becoming aware of an unplanned transfer for 3 of 3 (MR# 4, 1, 3) records reviewed in which…