Sima Corporate Group

The agency failed to ensure that the Condition of Participation: G 640 484.65 Quality assessment and performance improvement (QAPI) was in compliance as follows: 1. Based on interview and record review, the agency failed to ensure the Quality Assessment and Performance Improvement (QAPI) program…

The agency failed to ensure the Quality Assessment and Performance Improvement (QAPI) program resulted in measurable improvement of patient health outcomes, patient safety, and quality of care, in a universe of seven patients.

The agency’s Governing Body (GB) failed to approve the frequency and detail of the Quality Assessment Performance Improvement (QAPI) program’s data collection, from January 1, 2023, to January 10, 2024, in a universe of seven patients.

The agency failed to conduct and document performance improvement projects (PIP - a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) the agency had…

The agency’s Governing Body (GB) failed to provide oversight for its Quality Assessment and Performance Improvement (QAPI) Program from January 1, 2023, to January 10, 2024, in a universe of seven patients when: 1. The agency failed to ensure the Quality Assessment and Performance Improvement…

The agency failed to ensure the patients' designated health care agents were identified, contacted, informed of home health services and patients' rights, and allowed to consent or reject home health services and treatments for two of seven sampled patients (Patients 2 and 3).

The agency failed to ensure the patients' initial assessment was completed within 48 hours of the physician's referral date or on the physician-ordered start of care date for three of seven sampled patients (Patients 1, 4, and 5).

The agency failed to ensure the comprehensive assessment (a detailed evaluation of a patient's health status that includes physical, mental, and social factors) was completed within five calendar days of the Start of Care (SOC) or physician’s ordered start date for two of seven sampled patients…

The agency failed to ensure a Registered Nurse (RN) provided supervision of care provided by a Licensed Vocational Nurse (LVN) for one of seven sampled patients (Patient 6).

The agency failed to ensure a discharge summary (a written document that details a patient's home health encounter, including their diagnosis, treatment received, medications, test results, and discharge instructions, essentially providing a comprehensive overview of their medical experience to…