I J Healthcare Nursing Resource Inc

The Agency failed to establish policies and procedures based on a risk assessment.

The Agency failed to conduct a full-scale exercise, facility-based exercise, or activate the Agency’s Plan as required.

In 218 of 415 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

In 1 of 7 (Pt. #2) clinical records reviewed, the Agency failed to inform staff for the need to use infection control practices in accordance with the Infection Prevention Standard of Practice, while providing service to a Pt. with an active infectious condition.

In 2 of 7 (Pts. # 5 and 6) clinical records reviewed, the Agency failed to ensure that initial assessments were conducted within 48 hours of receiving the referral.

In 2 of 7 (Pts. #2 and 5) clinical records reviewed, the Agency failed to ensure the POC was updated to include Physician orders.

In 3 of 7 (Pts. #2, 4 and 5) clinical records reviewed, the Agency failed to ensure staff provide treatment or service, as ordered by the Physician.

In 1 of 2 (Pt. #6 ) clinical records reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure the RN conduct Home Health Aide supervision every 14 days.

The Agency failed to ensure the Emergency Preparedness Plan was based on a facility-based and community-based risk assessment, utilizing an all hazards approach.

The Agency failed to ensure the plan contained volunteers.

The Agency failed to conduct testing of its Emergency Preparedness Plan.

The Agency failed to ensure that clinical documentation entered into the clinical record was complete and/or accurate.

The Agency failed to ensure Patient's medication profiles were reviewed by the RN during recertifcation comprehensive assessments.

The Agency failed to ensure care was provided, as required by the Physician.

The Agency failed to provide services as ordered in the POC.

The Agency failed to ensure the Registered Nurse conducted the initial assessment within 48 hours of the referral.

The Agency failed to provide care and/or services as required by the PsOC.