Oklahoma Healthcare Solutions Ix

The agency failed to: 1. ensure aide services were provided as ordered for two (Patients #1 and 5) of seven patients; and 2. ensure skilled nurse services were provided as ordered for two (Patients #1 and 5) of seven patients.

The agency failed to provide supervisory aide visits every 14 days for two (Patients #1 and 5) of seven patients.

The agency failed to ensure the development of a community-based risk assessment (Risk Vulnerability Analysis ) for all employees and 111 current patients.

The agency failed to ensure: 1) weight was obtained each visit for one (Pt #2) of seven patients; 2) the SN visit frequency was completed as ordered on the POC for one (Pt #3) of seven patients.

The agency failed to revise a plan of care to meet the needs for one (Patient #3) of seven patients.

The agency failed to ensure coordination with the physician on the possible need for changes in the POC frequency for CHHA visits for one (Pt #1) of seven patients.

The agency failed to ensure the SN visit frequency was completed per ROC orders for one (Patient #3) of seven patients.

The agency failed to ensure either the supervising RN or alternate RN was available at all times during operating hours, potentially affecting 111 patients currently on services and future patients with an active referral to the agency.