Every finding on record at Blize Healthcare California Inc

Observed in Record Review. The organization did not ensure that an exercise to test the emergency plan was completed during 2022. This observation was reviewed with the Administrator.

Observed in Record Review. A review of 4 of 11 patient records, revealed that the organization did not ensure the plan of care included all required information. For example, during a review of the medical record for HV#1, HV#3, and RR#1, it was noted that updates to the plan of care did not include a statement of the scope and frequency of the Skilled Nursing, and Hospice Aide services necessary to meet the patient’s and family’s needs. This observation was reviewed with the Administrator. Example #2: A review of the medical record for RR#3, revealed the following physician's order: Wound care - clean with normal saline, apply medi-honey and cover with dry dressing. The order did not include location of wound care, or frequency of wound care completion. This observation was reviewed with the Administrator.

Observed in Record Review. In 1 of 11 patient records reviewed, it was noted that the organization did not ensure the plan of care was revised when the patient’s condition changed. For example, during a review of the medical record for HV#2, it was noted that the patient experienced a fall during week 6 of services the patient experienced a fall. The goal statement to evaluate response to care, treatment and services related to fall prevention interventions was not revised.

Observed in Record Review. In 3 of 11 patient records reviewed, the organization did not ensure recertification of terminal illness statements were completed as required, in that, 418.22(a)(3)(iii) states recertification may be completed no more than 15 calendar days prior to the start of the subsequent benefit period. For example, a review of the medical record for HV#3, revealed that the recertification statement for the 3rd benefit period was dated 30 days prior to the benefit period. Example #2: A review of the medical record for RR#7, revealed that the recertification statement for the 10th benefit period was dated 28 days prior to the benefit period. Example#3: A review of the medical record for RR#4, revealed that the recertification of terminal illness statement for the 3rd benefit period was dated 24 days prior to the benefit period. This observation was reviewed with the Administrator.This observation was reviewed with the Administrator.