J Jireh Healthcare Services LLC

The agency failed to meet the condition for quality assessment and performance improvement as evidenced by: Refer to G0660 The agency's governing body failed to ensure that an ongoing program for quality improvement and patient safety was implemented and maintained.

THIS IS A CONTINUED DEFICIENCY CITED AT E004 ON SURVEY DATED 09/23/2020. The agency failed to review and update the agency's emergency preparedness plan (EPP) at least every 2 years for two (2021 and 2022) of three years reviewed.

THIS IS A CONTINUED DEFICIENCY CITED AT G0658 ON SURVEY DATED 09/23/2020. Based on interview and record review, the agency failed to develop, implement, and evaluate performance improvement projects for 3 of 3 (2020, 2021 and 2022) years reviewed.

THIS IS A CONTINUED DEFICIENCY CITED AT G0660 ON SURVEY DATED 09/23/2020. The agency's governing body failed to ensure that an ongoing program for quality improvement and patient safety was implemented and maintained.

Failed to directly employ or contract with an individual who met the qualifications as a supervising nurse and who provided oversight of all patient care services and personnel This failure placed any patients admitted by the agency at risk of poor care and negative health outcomes when no…

The Administrator failed to designate a qualified Alternate Administrator, to assume the same responsibilities and obligations as the Administrator who would be responsible for the agency in the absence of the Administrator.