Good Health Care Professionals, Inc.

The agency failed to ensure evidence of a patient centered QAPI Program for 26 patients and employees.

The agency failed to ensure development of a community-based risk assessment (All Hazards Risk Assessment) for 26 patients and all employees.

The agency failed to ensure an Emergency Preparedness Communication Plan which included required information related to staff members, resources of the agency and community contacts.

The agency failed to ensure an emergency preparedness disaster table top exercises and drills were conducted for fiscal year's 2019 and 2020 for 26 patients and all staff members.

The agency failed to ensure evidence of a patient centered QAPI Program for 26 patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for 26 patients and all employees.

The agency failed to ensure conduction of patient centered QAPI Program activities for 26 patients and all employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 26 patients and all employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities for 26 patients and all employees.

The agency failed to ensure: 1. The Infection Control Program included comprehensive infection control surveillance activities and interventions to reduce future infections and promote learning and preventative measures throughout the agency; and 2. The Infection Control Program was included in…

The agency failed to ensure governing body oversite of: 1. patient centered QAPI Program; 2. infection control program activities and; 3. operating budget and allocation of resources for calendar year's 2019 and 2020 for 26 patients and all staff.

The agency failed to ensure physician notification of BP levels greater than the ordered reporting parameter for two (Pt's #1 and #4) of seven patients.

The agency failed to ensure an RN Clinical Manager was available during operating hours to oversee the provision of care and professional services for 26 patients.

The agency failed to ensure an Emergency Preparedness Program specific to the agency was developed.

The agency failed to ensure an ongoing, comprehensive QAPI program was developed, maintained and approved by the governing body.

The agency failed to ensure infection prevention practices were followed to prevent the spread of infection for one (Pt #5) of seven patients.

The agency failed to ensure the governing body provided oversight of agency operations and programs.

The agency failed to ensure staff developed an individualized plan of care for one (Pt #5) of seven patients: Findings: Patient #1 A review of the Plan of Care dated 04/20/18 to 06/18/18 showed orders for wound care for an ulcer to the left buttock.

The agency failed to ensure CHHA supervisory visits were made every two weeks for four (Pt #2, 3, 4, and 5) of seven patients who received HHA services.

The agency failed to ensure CHHA care plans were updated for five (Pts #2, 3, 4, 5 and 6) of five patients with CHHA services.