Every finding on record at Oakwood Healthcare Services Inc.

Upon patient record review 3 of 14 (Patient #5,7,9) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. Patient #5, No evidence of supervisory visit every 14 days. Supervisory visit completed on 12/6/24 then on 1/3/25. Patient #7, No evidence of supervisory visit every 14 days. Supervisory visit completed on 11/27/24 then on 12/25/24 then on 1/8/25. Patient #9, No evidence of supervisory visit every 14 days. Supervisory visit completed on 1/1/25 then on 1/29/25.

Upon personnel record review, 3 of 8 applicable (#2,6,7) did not have evidence of compliance with the Phase 1 deadline requirements as outlined in the CMS Covid vaccination mandate. Personnel #2: Missing evidence of vaccination or exemption. Agency reports this employee has an appointment in Feb for the vaccination. Personnel #6, #7: Both personnel had medical exemption documentation, but it did not specify the vaccines that were clinically contraindicated, the clinical reasons for the contraindication nor a statement by the authenticating practitioner.