Alta Care Homeheatlh, Inc

The agency failed to ensure staff received Emergency Preparedness training and were knowledgeable of the emergency preparedness processes at the time of initial hire and annually thereafter, for 14 of 14 sampled employee files reviewed.

The agency failed to submit an Outcome and Assessment Information Set (OASIS) which accurately reflected a patient's status at the time of assessment for 1 of 10 sampled patients (Patient #5).

The agency's nurses failed to conduct physician ordered Home Health Aide visits for 1 of 10 sampled patients (Patient #2); failed to document a patient and/or caregiver capability for blood sugar testing and insulin administration/return demonstration for 1 of 10 sampled patients (Patient #7)…

The agency failed to: 1. ensure staff followed Standard Precautions to dispose of sharps and syringes contaminated with blood for 1 of 1 sampled patients (Patient #1) observed receiving intravenous therapy.

The agency's Registered Nurse supervision failed to identify a Licensed Practical Nurse who did not document wound measurements for 1 of 10 sampled patients (Patient #10).

The agency failed to provide documented evidence its Governing Body met and conducted meetings on an annual basis as per the agency's Governing Body bylaws.

The agency's Clinical Director failed to oversee the agency's Registered Nurses who failed to identify a Licensed Practical Nurse who did not document a patient and/or caregiver capability for blood sugar testing and insulin administration/return demonstration for 1 of 10 sampled patients (Patient…

The agency failed to ensure a Thirty-Day Summary was authentically dated, timed and signed by the nurse who created the summary for 1 of 10 sampled patients (Patient #4).

The agency failed to update a medication profile with ordered medication for 1 of 10 sampled patients (Patient #10).

The clinical record lacked documented evidence the agency obtained an order for the visit on the 19th, which was conducted for suprapubic catheter change.

The agency failed to ensure physician notification regarding a week delay for an occupational therapy evaluation for 1 of 10 sampled patients (Patient #10).

The agency failed to conduct an ordered occupational therapy evaluation in a timely manner for 1 of 10 sampled patients (Patient #2).

The agency failed to ensure medication reconciliation records were accurate for 1 of 10 sampled patients (Patient #6).

The agency's Registered Nurses failed to identify a Licensed Practical Nurse who did not document a patient and/or caregiver capability for blood sugar testing and insulin administration/return demonstration for 1 of 10 sampled patients (Patient #7) and failed to identify a Licensed Practical Nurse…

The agency failed to ensure its Registered Nurse conducted and documented a Home Health Aide supervisory visit at least every 14 days for 2 of 10 sampled patients (Patient #3 and #7).

The agency failed to ensure a Thirty-Day Summary accurately documented the blood pressure of the patient and was signed by the nurse who created the summary for 1 of 10 sampled patients (Patient #4).

The agency failed to maintain documentation of all ordered skilled nursing assessments for 1 of 10 sampled patients (Patient #9).