Smh-Ochsner Home Health of Slidell

The agency failed to ensure each OASIS (Outcome and Assessment Information Set) was successfully transmitted to the Centers for Medicare and Medicaid Services (CMS) system within 30 days of completion.

The agency failed to have the Plan of Care (POC) reviewed and revised by the physician every 60 days, beginning with the SOC (Start of Care) date for 3 (#4, #13, and #14) of 17 sampled patients reviewed.

The agency failed to provide services as ordered by the physician in the Plan of Care (POC) for 1 (#11) of 17 sampled patients reviewed.

The agency failed to ensure all new and existing staff and individuals providing services under arrangement received initial training in Emergency Preparedness policies and procedures, had training at least every 2 years, and documentation of training was maintained with demonstration of staff…

The agency failed to conform with physicians' orders by failing to ensure Skilled Nursing Services were provided per physician's orders for 10 (#1, #2, #3, #4, #5, #9, #11, #12, #14, and #17) of 17 (#1-#17) sampled patients reviewed for Skilled Nursing Services.

The agency failed to ensure the patient’s comprehensive assessment included a review of all medications the patient was currently using.

The home health agency failed to ensure care and services were provided in accordance with the written plan of care for 3 (#5, #11, #13) of 17 (#1 - #17) sampled patient records reviewed.

The agency failed to comply with accepted professional standards and principles by failing to have a Registered Nurse assess a patient's wounds, including the size and stage, weekly for 2 (#7, #11) of 2 (#7, #11) patients reviewed with pressure ulcers out of a total of 17 sampled patients.

The agency failed to ensure the medication profile accurately reflected all medications patients were using and/or did not reflect medications the patients were no longer using, for 3 (#2, #3, and #4) of 7 (#1-#7) sampled patients reviewed who received home visits.