Mj General LLC D/B/a Meiger Health

The Home Health Agency failed to provide the patient or the patient’s representative with notice of their rights, consistent with the standards under this condition for one (1) of one (1) patient, (Patient #2).

The Home Health Agency failed to ensure the registered nurse conducted an effective initial assessment visit (G514); failed to ensure the agency’s rehabilitation skilled professional conducted and documented an initial assessment visit to determine the patient’s immediate care and support needs…

The Home Health Agency failed to ensure that each individualized plan of care included all required elements (G574), failed to develop an individualized plan of care to ensure review and revision by the physician or allowed practitioner no less frequently than once every 60 days, beginning with the…

The agency's clinical staff failed to encode and electronically transmit each completed OASIS assessment directly to the CMS system, within the timely guidelines of 30 days of completing each beneficiary’s assessments, for four (4) of 4 submitted assessment records, for the time periods of…

The Home Health Agency failed to conduct an the initial evaluation visit, and failed to provide the patient’s caregiver the following information, in advance of furnishing care for one (1) of one patient, (Patient #2).

The Home Health Agency failed to ensure the patient and the patient’s legal representative received a copy of the notice of rights and responsibilities for one (1) of one (1) patient, (Patient #2).

The Home Health Agency failed to provide written notice of the patient’s rights and responsibilities to the patient and the patient’s legal representative within four (4) business days of the initial evaluation visit for one (1) of one (1) patient, (Patient #2).

The Home Health Agency failed to ensure that the patient receives all services outlined in the plan of care for one (1) of one (1) patient, (Patient #2).

The Home Health Agency failed to ensure the registered nurse conducted and documented initial assessment visits to determine patient’s immediate care and support needs for two (2) of 4 clinical records, (Patients #1 and 3).

The agency’s rehabilitation skilled professional failed to document an initial assessment visit to determine the patient’s immediate care and support needs for one (1) of five (5) clinical records of patients receiving skilled services, (Patient #2).

The Home Health Agency failed to document complete comprehensive assessments consistent with patients’ immediate needs, within five (5) calendar days for one (1) of three (3) clinical records, (Patient #1).

The Home Health Agency failed to incorporate the use of the current version of the Outcome and Assessment Information Set (OASIS) items in their own comprehensive assessment in two (2) of 2 clinical records for patients receiving skilled services, (Patients #1 and 3).

The agency's clinician failed to document updated and revised comprehensive assessments at discharge, in one (1) of one closed clinical record for a patient discharged from the agency, (Patient #8).

The agency's staff failed to ensure that the patient's Plan of Care was individualized and included all required elements, for two (2) of two clinical records (Patients #1 and 3).

The Home Health Agency failed to develop an individualized plan of care to ensure review and revision by the physician or allowed practitioner no less frequently than once every 60 days, beginning with the start of care date, for one (1) of one patient receiving skilled services, (Patient #2).

The Home Health Agency failed to integrate services to assure the identification of patient needs, factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines for one (1) of one (1) patient, (Patient #2).

Agency staff failed to provide services in accordance with current clinical practice guidelines and accepted professional standards of practice in two (2) of 2 clinical records for dialysis dependent patients, (Patients# 6 and 7).

The agency's clinician failed to document complete a discharge summaries in one (1) of one closed clinical record for a patient discharged from the agency, (Patient #8).

The Home Health Agency failed to maintain a communication plan that was reviewed and updated at least annually.

The Agency's staff failed to electronically transmit each completed OASIS assessment in accordance with the CMS timely guidelines within 30 days for nine (9) of fourteen (14) submitted OASIS assessments records, for the period of 02/24/21 through 06/19/21. Findings included: The Home Health Agency…

The Agency failed to ensure the clinician developed an individualized Plan of Care and included all required elements to include psychosocial and cognitive status for two (2) of the six (6) clinical records reviewed (Patients #1 and 3).