Traditional Healthcare Services

The agency failed to conduct and document PIP(s) for the calendar years 2019, 2020 and 2021 that reflected the scope, complexity and past performance of the agency's services and operations.

The agency failed to ensure that all entries to patients’ clinical records were completed, appropriately authenticated (signature and title of primary author), dated, and timed in three (Patients # 8, # 9 and # 10) of five inactive licensed and certified patients whose clinical records were…

The agency failed to ensure proper written notice was provided, in advance of terminating on-going care in two (Patients # 6 and 8) of two inactive patient records reviewed and who required the Centers for Medicare and Medicaid form titled Notice of Medicare Non-Coverage.

The agency failed to ensure that the individualized plan of care included a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors, in five (Records # 6 through # 10) of five clinical…

The agency failed to ensure that the agency’s inactive clinical records contained all clinical notes in three (Patients # 7, 8 and 9) of five clinical records reviewed.