Medallion Medical Care

The agency failed to develop policy and procedures to address the use of volunteers in an emergency or address other emergency staffing strategies, including the process and role for the integration of health care professionals to address surge needs during an emergency.

The agency failed to ensure staff member H was trained on emergency preparedness policies and procedures upon hire.

The agency failed to accurately code the SOC OASIS to reflect clinically significant medication issues identified during the drug regimen review as part of the comprehensive assessment for 2 (#s 5 and 8) of 8 sampled patients.

The agency failed to ensure staff member H was trained on infection prevention and control policies and procedures upon hire and annually thereafter.

The agency failed to complete a medication regimen review in order to identify any potential adverse medication side effects, including significant medication interactions, and duplicate therapy; and failed to notify the provider of the significant medication interactions for 3 (#s 5, 6, and 8) of…

The agency failed to develop an individualized plan of care which included the ordered frequency and duration of visits, modality interventions, measurable outcomes, and goals for therapy services for 3 (#s 4, 6, and 7) of 8 sampled patients.

The agency failed to ensure current cardiopulmonary resuscitation certifications were completed for three staff, members E, I, and J, of six sampled personnel records.

The agency failed to ensure equipment was cleaned with a cleansing agent that effectively removed organisms to prevent the transmission of communicable diseases and infections for 2 (#s 5 and 7) of 7 sampled patients.

The agency failed to include oxygen on the medication list for 1 (#6) of 7 sampled patients.

The agency failed to update the Plan of Care (485) with the frequency and duration of the SLP and MSW services which were to be provided for 1 (# 2); and failed to update the patient's medication list on the 485 for 1 (#4) of 7 sampled patients.

The agency failed to notify the primary physician of changes made to a patient's medication regimen by the patient's wife and additional providers for 1 (#4) of 7 sampled patients.

The agency failed to ensure the physician was consulted on a late start of service for Speech Therapy for 2 (#s 2 and 3) of 7 sampled patients.