Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 757188 (X3) Date Survey Completed 05/16/2025
Name of Provider or Supplier Simple Touch Home Health Care, Inc Street Address, City, State 5250 Santa Monica Blvd Suite 211, Los Angeles, CA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
G0370 Reporting OASIS information
CFR(s): 484.45

Condition of participation: HHAs must electronically report all OASIS data collected in accordance with §484.55.


This CONDITION is not met as evidenced by:
Based on interview and record review, the Home Health Agency (HHA) failed to ensure the Condition of Participation for Release of patient identifiable OASIS information was met as follows: 


1.     The Home Health Agency failed to ensure the OASIS accurately reflected the patients status for five of five sampled patients (Patient 8, Patient 9, Patient 10, Patient 11, and Patient 12). (Refer to G374).

 

The cumulative effect of these systemic practices resulted in Patient 8, Patient 9, Patient 10, Patient 11, and Patient 12, not having an accurate OASIS,  placing patient safety at risk by increasing the chance of errors in medication, treatment, and diagnoses; increasing the risk for a lack in continuity of care, poor coordination between clinicians such as nurses and physicians; and affect the patients’ care and services that could lead to hospitalization and death.