Every finding on record at Hometown Home Heath, LLC

The Oklahoma State Department of Health conducted an unannounced Medicare Emergency Preparedness Program survey at the agency on 11/28/23 to 11/30/23. 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 in conjunction with a complaint (#62169) survey at the agency on 11/28/23 to 11/30/23.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 clinical and administrative issues.Findings were discussed during an informal exit conference with Staff A.Deficiencies were cited as a result of the re-certification survey. Deficiencies were cited related to the complaint. Glossary: Pts Patients POC Plan of Care SN Skilled Nurse MRI Magnetic Resonance Imaging

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to ensure: 1. wound care treatment orders were followed for two (Patient #2 and 10) of ten patients; and 2. a medical test was completed as ordered for one (Patient #5) of ten patients. 1. Patient #2 A review of a physician order dated 8/21/23 showed orders for SN to perform wound care to the left forearm wound twice weekly. A review of SN visit note dated 9/11/23 showed the dressing to the left forearm was removed and left open to air. Documentation showed no wound care treatments provided as ordered, no patient refusals, and no physician order to discontinue treatment. Patient #10 A review of a physician order dated 9/5/23 showed orders for SN to perform wound care to the left forearm wound twice weekly. A review of SN visit note dated 9/19/23 showed no wound care treatments provided as ordered, no patient refusals, and no physician order to discontinue treatment. 2. Patient #5 A review of a physician’s order dated 9/26/23 showed an order for an MRI (a medical imaging technique) of the right hip and spine without contrast due to pain. A review of clinical documention showed no evidence that the orders were carried out or completed. Documentation showed no patient/caregiver refusals and no change in orders. On 11/30/23 at 9:10 am, Staff A stated: 1. the wound care orders for Patient’s #2 and 10 were not followed as ordered by the physician; and 2. there were no results of an MRI, and the MRI for Patient #5 was not completed as ordered by the physician.