Floyd Valley Hospital Community Health Services

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 3 of 7 sampled patients (Patients #1, #2, and #3).

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 to the physician and other health care professionals who would be providing care to the patient for 1 of 1 sampled patients with…

The agency failed to ensure agency patients and/or patient representative received proper written notice, in advance of a service being furnished, if the agency believes the service may be non-covered for 2 of 2 patients with private insurance (Patients #6 and #8).

The agency failed to ensure accurate and thorough completion of all pertinent components of each comprehensive assessment for 4 of 4 sampled patients with diagnosis of diabetes (Patients #2, #3, #4 and #5).

The agency failed to identify all duplicate medications taken by patients when performing the drug regimen review and/or failed to identify medication discrepancies at the time of completion of the drug regimen review with comprehensive assessment for 8 of 10 sampled patients (Patients #1, #2, #3…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all medications, treatments, and supplies/equipment used by the patient and physician approved staff interventions for 5 of 10 sampled patients (Patients #1, #2, #3, #6 and #7).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 7 of 7 sampled patients with new verbal/interim orders.

The agency failed to notify the physician of changes in patient condition or needs that suggest an alteration to the Plan of Care for 3 of 10 sampled patients (Patients #3, #7 and #9).

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 for 1 of 2 sampled patients with transfers (Patients #6).

The clinical record lacked documentation of the patient's emergency preparedness plan provided to the patient at the time of admission.

The agency failed to ensure the development of a written policy and procedure to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/ or failed to ensure the Plan of Care contained current, accurate information for 2 of 7 sampled patients (Patients #3 and #5).

The agency failed to ensure that skilled staff communicated and coordinated care and services with a patient's physician for 3 of 7 sampled patients (Patients #2, #5 and #6).