Exodus Healthcare Services Inc

The agency failed to comply with all Federal and State emergency preparedness requirements, in that: The agency did not conduct an annual review of their emergency preparedness plan (EPP) for the years 2020, 2021, and 2022. This failure placed the agency patients at risk of harm in the event of an…

The agency failed to test the response phase of its emergency preparedness and response plan in a planned drill or during an actual emergency in three (2020, 2021 and 2022) of three years reviewed.

The agency failed to enforce its policy to develop a plan of care for 6 (Patients #1, #2, #3, #5, #6 and #7) of 7 agency discharged patients that received skilled nursing care and whose records were reviewed.

The agency failed to ensure the agency maintained a QAPI Program for 3 of 3 years (2020, 2021 and 2022) in that: 1) The QAPI program was not evaluated annually for its hospice-wide effectiveness on the quality of care provided and activities that impact upon patient health and safety for 2020, 2021…

The agency failed to develop, implement, and evaluate performance improvement projects for 3 of 3 (2020, 2021 and 2022) years reviewed.

The agency's leaders failed to ensure the agency maintained a QAPI Program for 3 of 3 years (2020, 2021 and 2022) in that: 1) The QAPI program was not evaluated annually for its agency-wide effectiveness on the quality of care provided and activities that impact upon patient health and safety for…