Christus Good Shepherd

The agency failed to maintain compliance with this Condition of Participation-care planning, coordination of services, and quality of care in that: Reference G0606 Based on record review and interview, the agency failed to integrate services to ensure the identification of patient needs and factors…

The agency failed to ensure the plan of care contained the required elements to cover all supplies and equipment required, patient specific interventions and education, and safety measures to protect against injury for 6 of 18 patients reviewed for plan of care.

The agency failed to integrate services to ensure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines for 1 of 18 patients reviewed.

The agency failed to follow their policy for the development of complete and accurate plan of cares for 6 of 17 patients reviewed for plans of care.

The agency failed to ensure the plan of care contained all pertinent diagnoses, patient specific interventions, education, and safety measures to protect against injury for 6 of 17 patients reviewed for plans of care.

The Clinical Manager did not assure the development, implementation, and updates of the individualized plan of care for 6 of 17 patients reviewed for plan of care.