Evergreen Home Care

The agency failed to develop and maintain a comprehensive EP plan that was reviewed and updated at least every two years.

The agency failed to develop and maintain an EP plan specific to the location of the agency, considering particular hazards most likely to occur in the surrounding area (Hazard Risk Assessment) at least every two years.

The agency failed to ensure staff followed agency policy to prevent the spread of infection.

The agency failed to ensure medications in the home were reconciled with the current physician's medication orders.

The agency failed to participate in a full scale community wide or facility based exercise or tabletop discussion annually.

The agency failed to ensure staff followed agency policy for hand hygiene and infection control.

The agency failed to follow the policy for ensuring every patient has a complete and accurate medication profile.

The agency failed to notify the physician for the following: 1. Blood glucose results outside of ordered parameters.

The agency failed to ensure the staff followed physician orders for the frequency of visits.

The staff failed to instruct the caregiver on wound care and obtain a return demonstration of competency.

The facility failed to ensure: 1. A comprehensive Emergency Preparedness Program was developed and implemented which complied with State, Federal and local emergency preparedness requirements and was updated on an annual basis.

A recertification survey was conducted on 9/10/19 to 9/12/19. It was determined the agency was not in compliance with the Condition of Participation, Infection Prevention and Control.

The agency failed to ensure a comprehensive EP Program was developed and implemented which complied with State, Federal and local emergency preparedness requirements.

The agency failed to ensure collaboration with state, local and regional officials was initiated, maintained and documented.

The facility failed to ensure a communication plan for the Emergency Preparedness Program was initiated.

The agency failed to ensure visit frequencies ordered by the physician were followed.

The agency failed to have an ongoing Infection Prevention and Control program.

The agency failed to ensure 2 of 2 HHA received at least 12 hours annual training for 2018. This deficient practice had the potential to affect all patients who received HHA services.

The agency failed to ensure medications were reconciled in 2 of 3 Home Visits (HV) conducted.

The agency failed to ensure all physician orders were obtained, written, and in the patient's medical record.

The agency failed to ensure the physician was notified of increasing wound size and change in patient's status.

The agency failed to ensure: 1. Education was provided on wound care to patient and caregiver.