Mercer Care

The facility failed to develop a policy and procedure to ensure individualized emergency plans are provided to each patient and kept in the patients home for seven of seven patients (P) whose home care visits were observed (P1, P2, P3, P4, P5, P6, and P7).

The facility failed to ensure staff received emergency preparedness training annually in accordance with facility policy for four of five personnel files reviewed (Staff (S) 1, S2, S9, and S11).

The facility failed to ensure: 1. staff perform hand hygiene in accordance with facility policy, and 2. disinfect reusable patient care equipment and electronic medical devices in accordance with facility policy and/or instructions for use (IFU) of cleaning supplies, in one of seven home visits…

The facility failed to ensure all patients with Medicare coverage receive a “Notice of Medicare Non-Coverage (NOMNC)” at least two days prior to the date of discharge in four of five discharged Medicare patients (Patients (P) 13, P14, P15, and P16) reviewed.

The facility failed to ensure, that services ordered by the physician are provided, as indicated in the plan of care.

The facility failed to provide a sanitary environment by ensuring: 1) proper hand hygiene practices are implemented according to facility policy and Centers for Disease Control and Prevention (CDC) guidelines; 2) proper bag technique practices are implemented according to facility policy.

The facility failed to ensure Patient (P)16 received written notice of non-covered care, prior to discharge.

The facility failed to ensure a supervisory visit was conducted by a Registered Nurse for a patient receiving Home Health Aide Services.

The facility failed to ensure that its infection control program adheres to acceptable standards of practice.

The facility failed to ensure that missed visit documentation includes physician notification of the missed visit and the reason for the missed visit.

The facility failed to ensure visitors are screened for COVID-19 with temperature checks and COVID-19 screening questions, prior to entry into the facility.

The facility failed to develop policies and procedures addressing prevention and control strategies to mitigate the spread of COVID-19. Findings include: 1. During the entrance conference on 3/24/21 at 10:10 AM, Staff #1 confirmed that the facility follows the CDC for its infection control…

The facility failed to educate staff on maintaining the recommended contact time for approved disinfectants.

The facility failed to ensure registered nurses conduct home health aide (HHA) supervisory visits, a minimum of every fourteen (14) days.