The Frazier Health Group LLC
Inspection 2025-03-26
· Initial Certification · 13 deficiencies · CMS source report (PDF)The agency failed to ensure the comprehensive emergency preparedness program met all requirements to ensure the health, safety, and security needs of their staff and patient population for 1 of 1 agency (E0001); failed to include documented attempts to contact officials in an effort to collaborate…
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The agency failed to ensure comprehensive assessments accurately reflected patients' health status, psychosocial status, functional limitations, and cognition (see G528), failed to ensure comprehensive assessments accurately reflected patients' goals (see G530), failed to ensure a comprehensive…
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The agency failed to ensure skilled nursing visits were conducted and documented as ordered, and failed to ensure patient- specific, measurable goals were documented (see G572), failed to include all elements required in the Plan of Care (see G574), failed to assure all communication with patients'…
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The agency failed to ensure skilled nursing visits were conducted and documented as ordered in 6 of 7 active records reviewed (Patients #1, 3, 4, 5, 7, and 8).
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The agency failed to ensure comprehensive assessments accurately reflected patients' health status, psychosocial status, functional limitations, and/or cognition for 7 of 7 active clinical record reviewed.
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The agency failed to ensure comprehensive assessments accurately reflected patients' goals for 6 of 7 active clinical record reviewed.
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The agency failed to ensure a comprehensive assessment had been completed for recertification, thereby failing to document the patient's need for continuing care, in 1 of 1 active record without a comprehensive assessment for recertification.
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The agency failed to ensure comprehensive assessments reflected a drug regimen review had been conducted, for 3 of 7 active clinical records reviewed.
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The agency failed to ensure the comprehensive assessment for a recertification occurred during the last 5 days of the certification period, for 2 of 7 active records reviewed.
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The agency failed to include all durable medical equipment (DME) in use 2 of 7 active records review (Patients #1 and 5), failed to evidence complete treatment/wound orders in 2 of 3 wound care patients (Patients #3 and 8), and failed to evidence all applicable functional limitations in 2 of 7…
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The agency failed to assure all communication with patients' providers involved in the plan of care was documented, in 3 of 7 active records reviewed.
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The agency failed to provide and document patient education and documentation of the patient response to the education in 6 of 7 active records reviewed.
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The agency failed to ensure the Administrator was responsible for the day-to-day operations: failed to ensure comprehensive assessments accurately reflected patients' health status, psychosocial status, functional limitations, and cognition, failed to ensure comprehensive assessments accurately…
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