Atlas Healthcare Inc.

The agency staff failed to document an all-hazards risk assessment as part of the Emergency Preparedness plan in 1 of 1 plan reviewed.

The agency failed to ensure the QAPI (Quality Assessment Performance Improvement) program utilized program quality indicator data in identifying improvement opportunities, monitoring effectiveness, and outlining detail interventions and frequency of data collection in 1 of 1 QAPI programs reviewed.

Agency staff failed to individualize patient goals based on each patient’s need in 7 of 7 patient record reviews completed (Patients #1, #2, #3, #4, #5, #6 and #7).

Agency staff failed to follow the physician ordered visit schedule as indicated on the plan of care for 2 out of 12 patients (Patient #8 and #10).

The Registered Nurse failed to re-evaluate the patient nursing needs in 2 of 12 patient records reviewed (Patient #8 and #10).

The agency failed to ensure staff utilized appropriate forms when conducting SN (skilled nurse) and wound care visits in 2 of 12 records reviewed (patients #8 and #10).