Seniors Home Healthcare Services
Inspection 2025-09-12
· Recertification · 6 deficiencies · CMS source report (PDF)The agency failed to electronically transmit completed OASIS (a standardized data set that measures the quality and outcomes of home health patients) assessments to the CMS system for all Medicare patients within 30 days of completing the OASIS assessment of the beneficiary (patient) for 56.25% (9…
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The agency failed to conduct and document performance improvement projects for two of two calendar years (2023 and 2024) that were reviewed and failed to have at least one performance improvement project in development or ongoing for calendar year 2025 that reflected the scope, complexity and past…
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The agency failed to provide the completed written Notice of Medicare Non-Coverage notice at least two days in advance of terminating on-going care in three of three patient (Patients 6, 8 and 9) discharged records reviewed.
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The agency failed to ensure the comprehensive assessment accurately reflected the patients’ health status for seven of nine Patients (Patient 1, 2, 5, 6, 7, 8 and 9) whose records were reviewed in that: Patient 1, 2, 5, 6, 7, 8 and 9’s comprehensive assessment included an inaccurate diagnosis of…
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This is a repeated violation cited at G574 on 09/07/2022. Based on record review and interview, the agency failed to ensure the plan of cares included all pertinent diagnoses; psychosocial and cognitive status; all medications; a description of the patient's risk for emergency department visits and…
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This is a repeated violation cited at G948 on 09/07/2022. Based on record review and interview, the Adm/LVN and Alt Adm/DON failed to organize and direct the day-to-day operation of the agency in that: #1. The Adm/LVN and Alt Adm/DON failed to ensure the plan of cares included all pertinent…
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Inspection 2022-09-07
· Recertification · 2 deficiencies · CMS source report (PDF)The agency failed to ensure the POC included all pertinent diagnoses; the types of supplies and equipment required; all medications and treatments; safety measures to protect against injury; patient-specific interventions and information related to any advanced directives (legal documents that…
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The Adm and Alt Adm failed to organize and direct the day-to-day operation of the agency in that: 1. The Adm/LVN and Alt Adm/DON failed to ensure clinical records were complete and accurate for seven of seven active patients (Patient 1, 2, 3, 4, 5, 6 and 7) whose records were reviewed.
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