Illinois Health Care Services, LLC

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

The Agency failed to ensure the Agency conducted the required individual and/or community exercises since 2023 to ensure the effectiveness of the Emergency Preparedness Plan.

The Agency failed to submit reports timely.

6 and 7) the Agency failed to ensure patients were assessed for Pneumococcal vaccination status on admission.

The Agency failed to ensure that concerns are communicated/coordinated within the healthcare team to ensure Pt. needs were identified and addressed.

The Agency failed to send a discharge summary to the primary care practitioner or other health care professional after the patients were discharged from the Agency.

In 2 of 4 (Pts. #3 and 4) clinical records reviewed, the plan of care was not followed as ordered.

For 1 of 3 discharged records (Pt.# 4) the Agency failed to complete a discharge summary.

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

It was determinied that Agency staff failed to conform with physician orders.

The Agency failed to ensure the RN complete a comprehensive assessment within the last 5 days of certification period.

The Agency failed to ensure that the clinical records were accurae and complete.

The Agency failed to ensure that the PsOC contained patient specific interventions and treatments.

The Agency failed to ensure that the clinical records were complete.