Memorial Hospital Home Care

The hospice failed to ensure development of a community-based risk assessment (All Hazards Risk Assessment) for three patients and all employees.

The agency failed to ensure emergency drills were completed for all employees and three current patients.

The agency failed to ensure documentation of notification of the potential for discharge for cause was provided to the patient for one (Patient #10) of 13 patients.

The agency failed to ensure documentation of efforts to resolve the patient's behavior for one (Patient #10) of 13 patients.

The agency failed to ensure it provided contact information to other agencies to provide care for one (Patient #10) of 13 patients.

The agency failed to ensure the duration of skilled nurse visits was included on the plan of care for one (Patient #10) of 13 patients.

The agency failed to ensure verbal orders were obtained and documented in the clinical record for one (Patient #10) of 13 patients.

The agency failed to ensure weights were obtained as ordered for one (Patient #4) of 7 patients.

The agency failed to ensure documentation of a patient centered QAPI Program for all patients and employees.

The agency failed to ensure utilization of OASIS data to improve program effectiveness, quality of patient care and overall program improvement for all future patients.

The agency failed to ensure the Infection Control Program included interventions to reduce future infections and promote learning and preventative measures throughout the agency for all 27 patients and all staff.

The agency failed to ensure development of an individualized plan of care for one (Patient #1) of seven patients.