Passion 05 Health Services Inc

The agency failed to encode and electronically transmit each completed OASIS assessment (a tool used by CMS to collect and report patient information for quality improvement and monitoring) to the CMS system within 30 days of completing the patient’s assessment for 1 (Patient 1) of 6 patients’…

The agency failed to conduct a performance improvement project annually to address identified problems with care and to evaluate past performance of the home health agency’s services and operations for 3 (2023, 2024 and 2025) of the 3 years of the survey review period.

The agency failed to ensure clinical records were retained for 5 years after the discharge of the patient, unless state law stipulates a longer period of time for 3 (Patients 2, 3, and 4) of 6 patients’ records reviewed.

The Home Health Agency failed to ensure the patient’s individualized plan of care contained the following: The patient's mental, psychosocial, and cognitive status; The types of services, supplies, and equipment required; The frequency and duration of visits to be made; Rehabilitation potential…

The agency failed to comply with all applicable Federal, State, and local emergency preparedness requirements, in that the agency failed to maintain a comprehensive emergency preparedness program that was reviewed and updated at least annually, per state regulations and agency policy, for the…

The is a continuing deficiency cited at G 0658 at survey dated 02/21/2020. Based on record review and interview, the agency failed to conduct and document Performance Improvement Projects for the calendar years 2020 and 2022, that reflected the scope, complexity, and past performance of the…

The agency failed to provide written notice of the HHA's transfer and discharge policies in two (Patients # 1 and # 3) of two home visits conducted.

The agency failed to ensure that the individualized plan of care included the frequency and/or duration of visits to be made in five (Patients, # 1, # 2, # 3, # 4, and # 6) of seven clinical records reviewed for SN visit frequency.