Extended Family Care

The agency failed to ensure the Emergency Preparedness communication plan included names and contact information for staff.

The agency failed to ensure the Plan of Care (POC) included updated frequency orders for nine (9) of fourteen (14) CRs reviewed (CR 1-4, 6-9, and 12).

The agency failed to ensure staff administered treatments in accordance with the written orders of the physician for two (2) of seven (7) patient clinical records reviewed (CR3, CR7).

The agency failed to ensure patient medication instructions included the medication name with dosage/frequency/route, and indication for as needed medication for three (3) of seven (7) patient clinical records reviewed (CR3, CR4, CR7).

The agency failed to ensure that agency staff documentation was clear, concise followed the written orders of the physician for one (1) of four (4) CRs reviewed (CR3) Findings Included: A review of agency policy and procedure, conducted on 5/29/19 at approximately 1:00 p.m. revealed "...…

The agency failed to ensure that clinical documentation was clear, concise followed the written orders of the physician for one (1) of four (4) CRs reviewed (CR3) Findings Included: A review of agency policy and procedure, conducted on 5/29/19 at approximately 1:00 p.m. revealed "... Documentation…

The facility failed to develop and maintain an emergency preparedness training and testing program based on the facility's emergency plan.

The agency failed to ensure documentation was maintained for emergency preparedness initial training of staff and the methods used for demonstrating staff knowledge of an emergency preparedness training program for four (4) of four (4) personnel files reviewed (PF3 - PF6).

The agency failed to follow accepted standards of practice to prevent the transmission of infections and communicable diseases, specifically, to conduct annual health screenings for tuberculosis for one (1) of four (4) employee personnel files reviewed with direct care patient responsibilities…

The agency failed to ensure personnel files included CPR (cardiopulmonary resuscitation) certification per agency policy for one (1) of four (4) employee personnel files reviewed with direct care patient responsibilities (PF3).