Family Care Services Inc

The agency failed to ensure emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals, to address surge needs…

The agency failed to ensure all field heath care workers (HCWs) used proper Personal Protective Equipment (PPE), based on the current Federal and State government guidelines related to COVID-19. In addition, failed to conduct and have an effective field staff health screening system for all field…

The agency staff failed to report immediately to the State Agency (SA), an allegation of misappropriation of patient property for 1 of 1 patient (P1) reviewed, who reported theft of personal property and money by agency staff.

The facility failed to develop and implement emergency preparedness policies and procedures which addressed a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

Use book for based on Based on interview and policy review, the facility failed to ensure their emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and…

The facility failed to ensure their communication plan included a method for sharing information and medical documentation for patients under the facility's care, as necessary, with other health providers to maintain the continuity of care.

The facility failed to ensure their communication plan included a means of providing information about the facility's occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to complete an initial assessment within 48 hours of referral for 1 of 9 patients (P7) reviewed for timely assessment.

The agency failed to ensure the plan of care, physician orders were followed for 2 of 9 patients (P4, P9) whose records were reviewed.

The agency failed to ensure accepted standard of infection control were followed for 1 of 2 patients (P3) observed for infection control practice during skilled nurse visits Finding include: P3's start of care (SOC), Outcome Assessment and Information Set (OASIS) indicated a SOC date of 8-23-18.…

The agency failed to ensure 2 of 5 home health aides (HHA-D, HHA-A) had successfully demonstrated competency in required patient care areas.

The facility failed to complete timely or accurate medication regimen reviews for 5 of 9 patients (P2, P3, P5, P7 P4) reviewed for medication regimen review.

The agency failed to ensure the plan of care (POC) included all required components for 8 of 9 patients (P1, P4, P8, P2, P3, P5, P7, P9) admitted or had continued services, after January 13, 2018, whose records were reviewed.

The agency failed to ensure changes to the plan of care were communicated to a patient (P5) reviewed for communication of change.