Providence at Home With Compassus, Puget Sound South
Inspection 2024-08-08
· Recertification · 6 deficiencies · CMS source report (PDF)The agency failed to accurately complete the Outcome and Assessment Information Set (OASIS) data for M0102 and M0104 for 4 of 17 patients (Patient #301, #308, #311, and #312).
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The agency failed to ensure the plan of care was followed as ordered by the physician for 5 of 17 patients (Patient #305, #310, #311, #314 and #317).
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The agency failed to inform patients of all aspects of their plan of care, including the total frequency of the proposed services and the manner in which the agency will provide those care and services for 17 of 17 patients (Patient #301, #302, #303, #304, #305, #306, #307, #308, #309, #310, #311…
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The agency failed to show coordination of care involving the patient, their representative, and their caregivers, as appropriate, in the development and coordination of frequency and duration of visits based on the patient’s needs for 3 of 17 patients (Patient #301, #303, #307).
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The agency failed to provide the patient and caregiver with a written visit schedule consistent with the patient's most current plan of care for 17 of 17 patients (Patient #301, #302, #303, #304, #305, #306, #307, #308, #309, #310, #311, #312, #313, #314, #315, #316, #317).
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The agency failed to document interdisciplinary assessments as described in agency policy for 11 of 19 patients (Patient #301, #302, #304, #305, #310, #311, #312, #313, #314, #316, #317).
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Inspection 2021-10-14
· Recertification · 5 deficiencies · CMS source report (PDF)The agency failed to implement policies and procedures consistent with state licensing requirements through failure to ensure credentials were current (Item # 1) and failure to ensure cardiopulmonary resuscitation (CPR) training was current (Item #2) for 1 of 8 staff (Staff #403).
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The agency failed to inform patients of all aspects of their plan of care, including the total frequency of the proposed services and the manner in which the agency will provide those care and services.
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The agency failed to conduct the initial assessment visit within the 48 hours of completing the referral for 7 of 17 patients (Patients #112, #113, #114, #117, #406, #408, #409) Failure to meet this requirement places patients at risk of physical harm due to not receiving services in a timely…
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The agency failed to ensure that verbal orders for patient’s Start of Care (SOC) were authenticated and dated by the referring physician for 13 of 17 Patients (Patient #101, #102, #107, #113, #116, #117#, #403, #405, #406, #408, #409, #410, #411).
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The agency failed to show coordination of care involving the patient, their representative, and their caregivers, as appropriate, in the development and coordination of frequency and duration of visits based on the patient’s needs for 14 of 17 Patients (Patient #101, #102, #107, #112, #113, #114…
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