John Ed Chambers Memorial Inc HHA

The Agency failed to transmit Outcome and Assessment Information Set (OASIS) patient data within 30 days of the assessment completion date for 53 (5.8%) patients in the 12-month period dated 07/01/23 - 06/28/24. This failed practice prevented the Agency from accurately reporting the information…

The agency failed to ensure current medications were reviewed for potential adverse reactions, side effects, and drug interactions for 2 (#2, #6) of 10 (#1 - #10) clinical records reviewed.

The Agency failed to ensure the care plans were detailed and specific to the needs of the individual patient for 10 of 10 (#1-#10) clinical records reviewed.

The Agency failed to ensure there was an original order for an indwelling catheter in use for 1 of 1 (#4) patients with an indwelling catheter observed on the case mix and that the most current wound treatment order was followed for 2 of 2 (#3, #4) patients with a wound dressing observed on the…

The agency failed to ensure an air mattress was provided for 1 of 1 (#3) observed with an unstageable pressure wound.

The agency failed to ensure there were accurate medication lists in the home for 2 (#3 and #4) of 4 (#3, #4, #5, and #7) of clinical records reviewed.

The Agency failed to ensure the discharge/transfer summary was completed and sent to the physician within 2 business days for an unplanned transfer for 1 (#8) and subsequently 5 business days of discharge for 1 (#8).

This Element is NOT MET as evidenced by: Based on Clinical Record Review and Staff Interview it was determined The Skilled Nurse (SN), failed to notify the physician when the updated Comprehensive Assessment indicated a change in condition in 1 (#6) of 7 (#1-#7) charts reviewed.

The Agency failed to review and update the Emergency Preparedness Plan on an annual basis.

The Agency failed to conduct training and testing of the Emergency Plan as required.

Staff interviews, it was determined the Agency had no process to ensure written information specific to the patients Plan of Care (POC), revisions and updates were provided to patients or caregivers in 3 (#4, #5 and #7) of 3 (#4, #5 and #7) visits conducted in the home.

The Skilled Nurse (SN) failed to follow accepted infection control standards in 1 (#7) and sharps safety precautions in 1 (#4) of 3 (#4, #5 and #7) home visits with observations of skilled procedures.