Deficiency Index

Every finding on record at Health Care Innovations of Western Oklahoma LLC

Lawton, Oklahoma · CCN 377730

3 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of August 21, 2024

3 findings
E0000

The Oklahoma State Department of Health conducted an unannounced Medicare Emergency Preparedness Survey at the agency on 08/20/24 to 08/21/24. No deficiencies were cited as a result of the Medicare Emergency Preparedness Program Survey.

G0000

The Oklahoma State Department of Health conducted an unannounced Medicare re-certification survey at the agency on 08/20/24 to 08/21/24. An entrance conference was conducted with Staff A and B and by telephone with Staff C. The survey process was explained. Questions were answered. Staff B was identified as the contact person for clinical issues and Staff D was identified as the contact person for administrative issues. Findings were discussed during an informal exit conference with Staff B, C, D and by telephone with Staff E, F, G, H, I and J. Standard level deficiencies were cited as a result of the Medicare re-certification survey.

G0478

Investigate complaints made by patient CFR(s): 484.50(e)(1)(i) The HHA must— (i) Investigate complaints made by a patient, the patient's representative (if any), and the patient's caregivers and family, including, but not limited to, the following topics: (A) Treatment or care that is (or fails to be) furnished, is furnished inconsistently, or is furnished inappropriately; (B) Mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and/or misappropriation of patient property by anyone furnishing services on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure complaints were fully investigated and finalized for one (Complainant #2) of 11 complaints reviewed. A review of the hospices administrative records and employee handbook stated taking any gratuity, tip or gift, from any patient or family member was a major infraction that could lead to termination. Complainant #2 A review of a complaint report alleged that a staff member traded illicit pictures for money from a patient. This was reported to the agency by an outside source who reportedly had been shown illicit staff pictures. Documentation showed the agency interviewed the staff who denied sharing pictures and the former patient who reported the staff never traded pictures for money but accepted money for a birthday, Mother’s Day, etc. The complainant who made the allegations was not interviewed by the agency. On 08/21/24 at 3:00 pm, Staff B stated, “We did not follow-up with the person who made the allegations because they were on maternity leave at the time it was reported. The allegations that staff received money as gifts was not investigated further after the denial."

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Federal survey findings only. State licensure findings for home health agencies are not shown.

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