Every finding on record at Assurance Health Care Services, LLC

The Oklahoma State Department of Health conducted an unannounced Medicare Emergency Preparedness Program survey at the agency from 10/18/23. No deficiencies were cited as a result of the Emergency Preparedness Program survey.

The Oklahoma State Department of Health conducted an unannounced Medicare re-certification survey at the agency on 10/18/23. An entrance conference was conducted with Staff A. The survey process was explained. Questions were answered. Staff A was identified as the contact person for administrative and clinical issues. Findings were discussed during an informal exit conference with Staff A and B. A deficiency was cited as a result of the re-certification survey:

Authentication CFR(s): 484.110(b) Standard: Authentication. All entries must be legible, clear, complete, and appropriately authenticated, dated, and timed. Authentication must include a signature and a title (occupation), or a secured computer entry by a unique identifier, of a primary author who has reviewed and approved the entry. This STANDARD is not met as evidenced by: Based on record review and interview the agency failed to ensure the accuracy of the start of care dates and certification periods for four (Patients #4, 6, 9 and 11) of 13 patients. Patient #4 A review of the plan of care dated 12/19/20 to 02/16/21 showed a start of care date of 12/22/20 (2 days after the certification period began). Patient #6 A review of the plan of care dated 12/21/20 to 02/09/21 showed a start of care date of 12/21/20 (8 days after the certification period began). Patient #9 A review of the plan of care dated 10/31/20 to 12/29/20 showed a start of care date of 12/21/20 (51 days after the certification period began). Patient #11 A review of the plan of care dated 11/14/20 to 01/12/21 showed a start of care date of 12/23/20 (37 days after the certification period began). On 10/18/23 at 1:45 pm, Staff A stated the start of care dates for Patients #4, 6, 9 and 11 were inaccurate.