Joy Health Services LLC

The agency failed to maintain their comprehensive emergency preparedness program by failing to ensure the program was updated every 2 years, in 1 of 1 Emergency Preparedness plan reviewed.

The agency failed to ensure their emergency preparedness plan included an emergency staffing plan or strategy that included the use of volunteers or other emergency staffing personnel, in 1 of 1 Emergency Preparedness Plan reviewed.

The agency failed to ensure they maintained updated names and contact information for the following: staff, entities providing services under arrangement, patients' physicians, and volunteers, in 1 of 1 Emergency Preparedness Plan reviewed.

The agency failed to ensure a yearly tabletop exercise was documented, in 1 of 1 Emergency Preparedness Plans reviewed.

The agency failed to ensure field staff adhered to infection control precautions during patient care in 2 of 4 home visits observed.

The agency failed to ensure that complaint resolutions were documented in 1 of 1 complaint records reviewed.

The agency failed to ensure the comprehensive assessment reflected patients’ current health, psychosocial, functional, and cognitive status in 3 of 8 active clinical records reviewed.

The agency failed to ensure the comprehensive assessment reflected patients’ strengths and care preferences, and failed to include information that detailed patients’ progress toward goals, including measurable outcomes in 4 (Patient #2, 3, 5, and 7) of 8 active clinical records reviewed.

The agency failed to ensure all patients received a comprehensive assessment that included their medical, nursing, rehabilitative, social, and discharge planning needs for 3 of 9 active records reviewed.

The agency failed to establish a plan of care that contained pertinent diagnoses, patient specific interventions, psychosocial status, nutritional requirements and patient specific measurable goals and outcomes in 6 of 8 active clinical records reviewed.

The agency failed to evidence a revised plan of care containing updated patient information, measurable outcomes, and goals for 3 of 8 active clinical records reviewed.

The agency failed to ensure all services were coordinated and integrated to identify all patient needs and services available, and to avoid duplication of services for 3 of 9 active clinical records reviewed.

The agency failed to ensure the plan of care included patient-specific interventions or measurable outcomes for 2 patient records reviewed in a sample of 8. (#1, #4) Findings include: 1. An agency policy, revised on 10/13/10, titled, "Care Planning Process", stated, ".... Procedure: 2. Based on the…

The agency failed to ensure the skilled nurse provided ongoing blood glucose assessments for a diabetic patient in 1 of 2 patients with diabetes.