Julia Rackley Perry Memorial Hospital

For 2 of 2 (Pt #6, Pt #7) patients receiving Physical Therapy (PT) services, the Agency failed to ensure PT services were performed in accordance with the physician ordered therapy Plans of Care (POC).

The Agency failed to ensure the Quality Assessment Performance Improvement (QAPI) program included a process for measurement and analysis of indicators/results from medical record audits, per Agency policy.

For 3 of 3 (Pt#1, Pt #2, Pt #3) home visits observed, the Agency failed to ensure staff utilized standard infection control precautions to prevent the transmission of infectious diseases.

The Agency failed to ensure a a program for: surveillance, identification, prevention and control of infectious diseases, which was incorporated into the Quality Assessment Performance Improvement (QAPI) program.

In 1 of 3 (Pt #4) patients' records reviewed, the Agency failed to ensure the Plan of Care (POC) included patient specific interventions.

In 1 of 3 (Pt #4) patients' records reviewed, the Agency failed to ensure services rendered were in accordance with the Physician's orders.

For 1 of 2 (Pt #7) patients receiving Physical Therapy (PT) services, reviewed for Physical Therapy Assistant (PTA) supervisory visits, the Agency failed to ensure PTA supervisory visits adequately evaluated the PTA's performance.

In 3 of 3 (Pt #1, Pt #2, Pt #4) patients' records reviewed, the Agency failed to ensure documentation was accurate and complete.