Gateway Home Health

The agency failed to: (E-0004) maintain, review and update the emergency preparedness plan annually; (E-0006) develop a community-based risk assessment prior to developing the agency's emergency plan; (E-0007) address patient/client population, including, but not limited to, persons at risk…

This facility failed to ensure the following: (G-0642) that a Quality Assessment and Performance Improvement program (QAPI) was developed, established, implemented, maintained, and evaluated, and reflected implementation of process improvement measures to improve quality of patient care requiring…

Failure to maintain and document an infection control program to ensure that prevention measures are established and control of infections and communicable diseases are tracked, and monitored increases the patient's risk for a potentially avoidable event if the agency fails to maintain an active…

The agency failed to develop, maintain, review and update the emergency preparedness plan annually.

The facility failed to develop a community-based risk assessment prior to developing the facility's emergency plan.

The facility failed to include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials.

The agency failed to have an individual EP plan for each patient identified in the comprehensive assessment.

The agency failed to update and annually review the EP plan and policies, to inform State and Local emergency preparedness officials about patients in need to be evacuated from their residence.

The agency failed to develop and implement a policy and procedure for the use of volunteers in an emergency.

The facility failed to develop and implement an emergency preparedness Communication Plan that complies with Federal, State, and local laws and must be reviewed and updated at least annually.

The agency failed to have a primary and alternate means of communication during an emergency.

The facility failed to develop and implement a method for sharing information and medical documentation for patients under the HHA'S care, as necessary, with other health care providers to maintain the continuity of care.

The agency failed to develop a means for sharing information on occupancy, needs, and it's ability to provide assistance to the authority having jurisdiction.

The facility failed to develop a facility based emergency planning, training and testing program.

The agency failed to have the existing staff review the emergency preparedness policies and procedures training, at least annually.

The facility failed to conduct exercises to test the emergency plan at least annually.

The facility failed to ensure that a Quality Assessment and Performance Improvement program (QAPI) was developed, established, implemented, maintained, and evaluated, and reflected implementation of process improvement measures to improve quality of patient care requiring action plans to ensure…

The facility failed to ensure their QAPI program utilized Quality indicator data including measures derived from Oasis to monitor their facility's effectiveness and safety of services and quality of care, and ensure the governing body approved the frequency and detail of the data collection done.

The facility failed to ensure a process that addressed improved quality of care and patient safety, and that all improvement actions were evaluated to ensure that the HHA's governing body ensured that an ongoing program for quality improvement and patient safety was defined, implemented, and…

The facility failed to ensure an Infection Control program was available, implemented, documented and maintained, to ensure the health and safety of its patients that the facility cares for.