Every finding on record at Elite Home Care, LLC

The Oklahoma State Department of Health conducted an unannounced Medicare Emergency Preparedness Program survey at the agency on 11/20/24 to 11/21/24. 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 in conjunction with a complaint (98934 and 98952) survey at the agency on 11/20/24 to 11/21/24. An entrance conference was conducted with Staff A. Staff B was identified as the contact person for administrative and clinical issues. Findings were discussed during an informal exit conference with Staff A, B, C and D. Deficiencies were cited as a result of the re-certification survey. No deficiencies were cited as a result of the complaint survey.

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) 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. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure an individualized plan of care for ten (Patient #1. 2, 3, 4, 5, 6, 7, 8, 9 and 10) of 10 patients. Patient #1 A review of the plan of care dated 10/18/24 to 12/16/24 showed a primary diagnosis of hypertensive heart and chronic kidney disease with no patient specific interventions developed for the management of the primary diagnosis. Patient #2 A review of the plan of care dated 10/26/24 to 12/24/24 showed a primary diagnosis of metabolic encephalopathy with no patient specific interventions developed for the management of the primary diagnosis. Patient #3 A review of the plan of care dated 11/07/24 to 01/05/24 showed a primary diagnosis of psychophysiologic insomnia with no patient specific interventions developed for the management of the primary diagnosis. Patient #4 A review of the plan of care dated 09/27/24 to 11/25/24 showed a primary diagnosis of Parkinsonism with no patient specific interventions developed for the management of the primary diagnosis. Patient #5 A review of the plan of care dated 09/07/24 to 11/05/24 showed a primary diagnosis of aphasia following cerebral infarction with no patient specific interventions developed for the management of the primary diagnosis. Patient #6 A review of the plan of care dated 09/01/24 to 10/30/24 showed a primary diagnosis of idiopathic pulmonary fibrosis with no patient specific interventions developed for the management of the primary diagnosis. Patient #7 A review of the plan of care dated 08/08/24 to 10/06/24 showed a primary diagnosis of encounter for change and removal of non-surgical wound dressing with no patient specific interventions developed for the management of the primary diagnosis. Patient #8 A review of the plan of care dated 09/19/24 to 11/17/24 showed a primary diagnosis of encounter for surgical aftercare following surgery on the digestive system with no patient specific interventions developed for the management of the primary diagnosis. Patient #9 A review of the plan of care dated 10/13/24 to 12/11/24 showed a primary diagnosis of diabetes mellitus type II with diabetic peripheral angiopath [sic] without gangrene with no patient specific interventions developed for the management of the primary diagnosis. Patient #10 A review of the plan of care dated 08/23/24 to 10/21/24 showed a primary diagnosis of hypertensive heart and chronic kidney disease without heart failure with no patient specific interventions developed for the management of the primary diagnosis. On 11/21/24 at 12:50 pm, Staff B stated the plan of care for Patients #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were not individualized for the management of the primary diagnosis.

The Oklahoma State Department of Health conducted an unannounced Medicare Emergency Preparedness Program survey at the agency on 10/19/21 to 10/20/21. 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 10/19/21 through 10/20/21. An entrance conference was conducted with Staff A. The survey process was explained. Questions were answered. Staff Z was identified as the contact person for administrative and clinical issues. Findings were discussed during an informal exit conference with Staff Z. A standard level deficiency was cited as a result of the Medicare re-certification survey. GLOSSARY COTA Certified Occupational Therapy Assistant OT Occupational Therapist EMC Electronic Medical Record

Services by skilled professionals CFR(s): 484.75(a) Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under §484.115 and who practice according to the HHA's policies and procedures. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to ensure COTA supervisory visits were documented for one (Patient #1) of one patient with OT services. A review of clinical records showed COTA visits completed on 08/7/21, 09/04/21, 09/08/21, 09/20/21, 10/01/21 and 10/08/21. A review of OT re-evaluations dated 09/16/21 and10/14/21 showed no supervisory visits completed. A review of the EMR showed no supervisory visit documented elsewhere in the EMR. On 10/19/21 at 2:59 pm, Staff Z stated the COTA supervisory visits were not documented.