Genus Home Care of San Bernardino

The facility failed to ensure one of seven staff members was knowledgeable about the location of the facility’s designated alternate meeting location in case of emergencies.

The facility failed to ensure personal health information was kept confidential for one of three sampled patients (Patient 1) when Licensed Vocational Nurse (LVN 1) received and sent Patient 1’s clinical records using her personal cell phone.

The agency failed to collaborate with local, regional, State, and Federal emergency preparedness officials to cooperate in the planning efforts and maintain an integrated response during a disaster or emergency for the year 2022. This failure had the potential to put patients at risk when the…

The agency failed to include in their Emergency Preparedness Plan the process of informing emergency preparedness officials about patients in need of evacuation and the needs the patients would require during the evacuation process, for the year 2022. This failure had the potential to put patients…

The agency failed to use quality indicator (are standardized, evidence-based measures of health care data that can be used to measure and track the agency’s clinical performance and outcomes) data from OASIS (Outcome and Assessment Information Set), from January 1, 2022, to December 31, 2022, in a…

The agency failed to conduct and document performance improvement activities the agency had undertaken, from January 1, 2022, to December 31, 2022, in a universe of 23 patients.

The agency failed to conduct performance improvement activities, therefore did not identify adverse patient events, track and analyze causes and implement corrective actions from January 1, 2022, to December 31, 2022, in a universe of 23 patients This failure had the potential to cause problems in…

The agency failed to conduct and document performance improvement projects (PIP - a temporary or short-term plan designed to improve a process and resulting in improved performance of an agency.) the agency had undertaken, the reasons for conducting the PIP and measurable goals to show progress…

The agency’s Governing Body (GB) failed to provide oversight for its Quality Assessment and Performance Improvement (QAPI) Program from January 1, 2022, to December 31, 2023, in a universe of 23 patients when: The QAPI Program failed to use quality indicator (are standardized, evidence-based…

The agency failed to maintain a clean equipment when dirt and grime was observed on the feeding pump during the home visits of one of three sampled patients (Patient 3).

The agency failed to ensure a verbal order from the physician was reflected in the medical record for one of seven sampled patients (Patient 4).

The agency failed to inform the physician when two medications: Ursodiol (a medication used to treat liver conditions) and Carafate (a topical drug used in treating various skin wounds) were not available during the home visits for one of three sampled patients.

The agency failed to ensure the medical record contained required items for one of seven sampled patients (Patient 5) when three Licensed Vocational Nurse (LVN) visit notes were not completed.