Haven Skilled Care

The agency failed to develop a comprehensive emergency preparedness program (E0004).

The agency failed to develop a comprehensive emergency preparedness program.

The agency failed to develop an emergency plan based on and include a documented, agency-based and community-based risk assessment, utilizing an all hazard approach.

The agency failed to develop and maintain an emergency preparedness plan that addressed the patient/client population and addressed the types of services that the facility would be able to provide in an emergency.

The agency failed to develop and maintain an emergency preparedness plan that included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' and documentation of the agency's efforts to contact such officials and of its…

The agency failed to develop Emergency Preparedness (EP) policy and procedures based on the EP plan, risk assessment and communication plan.

The agency failed to develop Emergency Preparedness (EP) policy and procedures based on the emergency plan for the home health agency's patients during a natural or man-made disaster.

The agency failed to develop Emergency Preparedness (EP) policy and procedures to inform State and local emergency preparedness officials about homebound patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and psychiatric…

The agency failed to develop Emergency Preparedness (EP) policy and procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there was an interruption in services during or due to an emergency and the agency must inform State and local…

The agency failed to develop Emergency Preparedness (EP) policy and procedures based on a system of medical documentation that preserved patient information, protected confidentiality of patient information, and secured and maintained availability of records.

The agency failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws.

The agency failed develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws and included names and contact information for staff, patient's physicians and providers under contract.

The agency failed develop a communication plan that included contact information for Federal, State, tribal and local emergency preparedness staff.

The agency failed to develop a communication plan which included primary and alternate means for communicating with staff and Federal, State, tribal, regional, and local emergency management agencies.

The agency failed to develop a communication plan with a method for sharing information and medical documentation for patients with other health providers to maintain the continuity of care and a means of providing information about the general condition and location of patients.

The agency failed to develop and maintain an emergency preparedness training and testing program based on the emergency preparedness plan, risk assessment, policies and procedures and the communication plan.

The agency failed to develop and maintain an emergency preparedness training and testing program which must do initial training in emergency preparedness policies and procedures to all new and existing staff and maintain documentation of the training and demonstrate staff knowledge of emergency…

The agency failed to conduct an additional exercise that may include, a tabletop exercise that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge…

The agency failed to provide services as ordered or to contact the physician when services were not provided for one of three discharged patients whose medical record was reviewed (Patient #5).

The agency failed to ensure the skilled nurse provided care in accordance with the agency's policies and procedures for three of four patients reviewed with a wound (Patient #1, #2 and #10).

The agency failed to conduct an initial assessment visit within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician-ordered start of care date for one of three discharged patients whose medical record was reviewed (Patient #5).

The agency failed to ensure all medications were reviewed with each comprehensive assessment for one of ten patient records reviewed (Patient #1).

The agency failed to ensure all wound care treatments provided were ordered by a physician for one of four patients reviewed with wounds (Patient #1).

The agency failed to ensure the nurse provided services as ordered in the plan of care for two of three discharged patients whose medical records were reviewed (Patient #5 and #6).