Community Hospital, Inc.

The agency failed to ensure the development of a policy and procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to ensure training in emergency preparedness to 2 of 4 hired staff consistent with their expected roles and 1 of 1 contracted staff members since the last survey of 5/28/2019 did receive emergency preparedness training during orientation.

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 1 of 3 sampled patients receiving home health aide services (Patients #6).

The agency failed to ensure authentication of hand written entries made in each patient's clinical record included the employee's signature, title, date and time of the signature for 7 of 7 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #7).

The agency failed to identify medication discrepancies and all components when completing a drug regimen review with each comprehensive assessment within the allowed time frames for 2 of 11 sampled patients.

The agency failed to ensure 1 of 2 sampled home health aides (Staff C), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 3 sampled patients (Patients #2) with home health aide services, had documented evidence of competency by a registered…

The agency failed to ensure agency staff completed and sent a transfer summary to the health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of the planned transfer for 1 of 2 sampled patients requiring transmission of a…

The agency failed to complete a written emergency preparedness plan.

The agency failed to ensure participation in two emergency preparedness exercises in 2018. The agency reported a current census of 34 patients.

The agency failed to ensure a registered nurse or other appropriate skilled professionals in consultation with a registered nurse performed direct observation of home health aide performance of all required basic home health aide skills to determine satisfactory competency prior to allowing the…

The agency failed to ensure authentication of hand written entries made in each patient's clinical record included the employee's signature, title, date and time of the signature; failed to maintain electronic documentation only when the document allows for electronic authentication and tracking…

The agency failed to complete a drug regimen review, including all required components, with each comprehensive assessment within the allowed time frames for 4 of 7 sampled patients (Patients #2, #3, #5 and #6 ).

The agency failed to ensure accurate completion of all pertinent components of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care assessment (Patient #6).

The agency failed to ensure completion of the update of the comprehensive assessment at discharge within 2 calendar days of identification of the need to discharge a patient for 1 of 2 sampled patients requiring a discharge comprehensive assessment (Patient #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient and accurate medication orders for 8 of 9 sampled patients (Patients #1, #3, #4, #5, #6, #7, #8 and #9).

The agency failed to update the Plan of Care with all new physician orders for 6 of 7 sampled patients with interim/verbal orders.

The agency failed to provide medications, treatments or services only as ordered by the physician for 4 of 7 sampled patients (Patients #2, #4, #5 and #6).

The agency failed to document all required components of home health aide supervision every 14 days when a skilled services was provided in conjunction with the aide services and every 60 days when no skilled service was provided for 3 of 5 sampled patients receiving home health aide services for…

The agency failed to complete and send a transfer summary to the physician caring for the patient at the inpatient facility after transfer within 2 business days of the patient's transfer and/or failed to complete and send a discharge summary to the physician and other health care professionals who…