Every finding on record at Woodward Home Care Services, LLC

The Oklahoma State Department of Health conducted an unannounced Medicare Emergency Preparedness Program survey at the hospice from 12/18/23 to 12/19/23. 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 12/18/23 to 12/19/23. 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 by phone with Staff B. A deficiency was cited as a result of the re-certification 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 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 and 7) of 7 patients reviewed. Patient #1 A review of the plan of care dated 09/30/23 to 11/28/23 showed a primary diagnosis of open wound to right lower leg and showed no interventions for the management of the primary diagnosis. Patient #2 A review of the plan of care dated 11/09/23 to 01/07/24 showed a primary diagnosis of mixed incontinence and showed no interventions for the management of the primary diagnosis. Patient #3 A review of the plan of care dated 11/09/23 to 01/07/24 showed a primary diagnosis of urge incontinence and showed no interventions for the management of the primary diagnosis. Patient #4 A review of the plan of care dated 09/13/23 to 11/11/23 showed a primary diagnosis of aftercare following surgery for neoplasm and showed no interventions for the management of the primary diagnosis. Patient #5 A review of the plan of care dated 09/22/23 to 11/20/23 showed a primary diagnosis of acute and chronic respiratory failure and showed no interventions for the management of the primary diagnosis. Patient #6 A review of the plan of care dated 09/06/23 to 11/04/23 showed a primary diagnosis of pneumonitis due to inhalation of food and showed no interventions for the management of the primary diagnosis. Patient #7 A review of the plan of care dated 09/05/23 to 11/03/23 showed a primary diagnosis of hypertensive heart with heart failure and showed no interventions for the management of the primary diagnosis. On 12/19/23 at 12:50 pm, Staff A stated there were no individualized interventions for the primary diagnosis for Patients #1, 2, 3, 4, 5, 6 and 7.