Madelia Community Hospital Home Care

The agency failed to develop and implement emergency preparedness policies and procedures that included a system to inform state and local emergency preparedness officials of the need for patient evacuations from their residences, during an emergency.

The agency failed to develop and implement emergency preparedness policies and procedures that included a system to address what action would be required due to the inability to make contact with staff or patients and reporting capabilities to the local and State emergency officials during an…

The agency failed to develop a policy and procedure for protecting medical records as part of the emergency preparedness program (EPP).

The agency failed to ensure emergency preparedness policies and procedures addressed the use of volunteers in an emergency.

The agency failed to develop an Emergency Officials Contact (EOC) Information list as part of the emergency preparedness plan communication plan.

The agency failed to ensure their emergency preparedness plan addressed primary/alternative means of communication with Federal, State, tribal, regional, and local emergency management agencies.

The agency failed to ensure their communication plan included; a method for sharing protected health information and medical documentation with other providers; and release patient information.

The agency failed to ensure their communication plan included a means of providing information about the facility's needs, and ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

Failed to ensure an individual facility-based risk assessment for each separately certified facility within the health system utilizing an all-hazards approach.

The agency failed to ensure patient visits completed by a licensed practical nurse (LPN) were supervised by a registered nurse (RN).

The agency failed to ensure the primary care provider was updated when a home visit was missed for 6 of 7 patients (P1, P2, P3, P4, P5, and P6) whose records were reviewed for home visits.