Grinnell Regional Medical Center

The agency failed to ensure the emergency preparedness program addressed the continuity of operations including delegations of authority and succession plans.

The agency failed to have a written policy and procedure for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials.

The agency failed to ensure the development of a procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

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 hospice failed to ensure the development of a policy and procedure for a medical documentation system that preserves patient information and confidentiality of patient information.

The agency failed to have a written policy and procedure for 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 during an emergency.

The agency's emergency preparedness communication plan failed to include contact information for regional, state, federal and tribal officials and other sources of assistance.

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 4 of 7 sampled patients (Patients #2, #3, #5 and #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 7 of 7 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #7).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 3 of 7 sampled patients (Patients #2, #5 and #6).

The agency failed to ensure registered nurses supervising home health aides maintained documentation of a review of all required supervisory elements including following the patient plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all assigned tasks…

The agency failed to ensure the patient's clinical record included accurate, complete and current documentation of interventions related to assessments, treatments and services for 4 of 7 sampled patients (Patients #1, #2, #3 and #6).