Benedictine Health Center Duluth

The agency failed to ensure the physician orders were followed for 1 of 10 patients (P7) who had a home health aide (HHA) ordered but the service had not been provided and the physician had not been notified the service was not provided.

The agency failed to implement an infection control program that included tracking, trending and analysis of client infections as required.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 5 of 10 patients (P2, P4, P5, P8, P10) reviewed in the sample P4's plan of care (POC), dated 2/19/23 to 4/19/23, indicated P4's start of care (SOC) was 2/19/23. Diagnoses included…

The facility failed to develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually.

The facility failed to ensure their emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge…