Benefis Community Care Inc

The agency failed to ensure patients were admitted within 48 hours from the referral date, admitted within 48 hours of the patient's return home, or on the ordering practitioner's ordered start of care date for 6 (#'s 1, 3, 4, 6, 11, and 16) of 17 sampled patients.

The facility failed to establish and implement policies and procedures for ensuring the implementation of additional precautions to mitigate the spread of COVID-19 (Coronavirus Disease 2019) for facility staff with COVID-19 vaccine exemptions.

The agency failed to accurately reflect the status of a pressure ulcer on the Discharge OASIS for 1 (#2) of 17 sampled patients.

The agency failed to ensure staff followed acceptable standards of practice for glove changes when going from a dirty task to a clean task for 2 (#s 14 and 15) of 17 sampled patients.

The agency failed to complete an OASIS discharge assessment within 48 hours of a patient's discharge for 2 (#s 3 and 7) of 17 sampled patients.

The agency failed to notify the physician of the development of a Stage II pressure ulcer for 1 (#2) of 17 sampled patients.

The agency failed to provide continued education regarding UTI prevention, resulting in the development of a second UTI prior to discharge for 1 (#3) of 17 sampled patients.