Hendricks Community Hospital Assn & Retirement Hom

The agency failed to timely encode and submit Outcome and Assessment Information Set (OASIS) in accordance with Center for Medicare (CMS) requirement.

The agency failed to ensure proper hand hygiene was completed for 1 of 1 patients (P3) observed for wound care.

The agency failed to ensure the plan of care (POC) included patient centered strengths/goals in order to be consistent with the principles of patient-centered care for 3 of 7 patients whose records were reviewed.

The agency failed to ensure the plan of care (POC) included the risk for emergency department visits and hospital re-admission for 3 of 7 patients (P1, P5, P7), whose records were reviewed.

The facility failed to ensure their emergency preparedness policies and procedures addressed 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…

The home health agency (HHA) failed to complete accurate and timely comprehensive reassessments the last five days of every 60 day cycle for 2 of 9 patients (P3, P8) reviewed.

The agency failed to ensure the plan of care (POC) included a description of the risk for emergency department visits and hospital re-admissions, for 9 of 9 patients (P1, P2, P3, P4, P5, P6, P7, P8, & P9), whose records were reviewed.