Traditions Health of SE Oklahoma

The agency failed to ensure the physician was notified of fasting blood sugars outside of parameters for one (Patient #3) of 13 patients.

The agency failed to measure, analyze, track quality indicators and assess processes of care, HHA services, and operations potentially affecting all patients and staff.

The agency failed to ensure utilization of quality indicator data to improve program effectiveness, quality of patient care and overall program improvement for all agency patients and staff.

The agency failed to ensure documentation of governing body oversight of the agency for 2022 and 2023. A review of governing body minutes for 2022 and 2023 provided showed oversite to many agencies including hospice with no specific documentation for the surveyed agency.

The agency failed to document resolutions for five (Complaint #1, 2, 3, 4 and 5) of eight agency complaints which had the potential to affect all agency patients in receipt of services.

The agency failed to demonstrate adequate discharge for cause for one (Patient #10) of three patients.

The hospice failed to ensure the plan of care was fully developed to include individualized interventions in relation to the primary diagnosis for seven (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10) of 13 patients reviewed.

The agency failed to ensure medication embedded wound care supplies were included in the review of medications for potential/adverse effects, drug reactions, side effects, interactions and duplicate drug therapy for three (Patients #1, 3 and 4) of seven patients.