Monroe Co Hosp Progressive Hom

The agency failed to review and update the EP plan every two years.

The agency failed to ensure all aide staff followed infection control precautions and bed bath procedure.

The agency failed to ensure the staff documented accurately and completely in the MR.

The agency failed to ensure medications were reconciled each Skilled Nurse (SN) visit per agency policy.

The agency failed to ensure all physician orders were complete and accurate.

The agency failed to ensure: 1. Wound care was provided as ordered.

The agency failed to ensure a patient received education on a new medication prior to discharge.

The agency failed to ensure a facility-based and community-based risk assessment, utilizing an all-hazards approach was conducted and documented at least every 2 years.

The agency failed to follow its own policy and procedure and review/update and document all staff’s contact information in the agency’s Communication Plan.

The agency failed to follow its own policy and procedure and conduct and document emergency preparedness training at least every 2 years for agency staff.

The agency failed to document testing to include a second full scale exercise (table top, Mock, workshop) opposite year of the first exercise was completed.

The agency failed to ensure staff followed the physician orders for care and: 1. Collected ordered lab(laboratory) specimens and reported results to the ordering physician.

The agency failed to ensure staff performed hand hygiene after glove removal.

The agence failed to ensure: 1. An ongoing system for identification, prevention, and control was part of the agency QAPI program.

The agency failed to ensure all Home Health Aide (HHA) Plan of Care (POC) were individualized to meet the patient's needs to include parameters of vital signs (VS) and frequency of each task to be performed by the HHA.

The agency failed to ensure patient documentation was submitted within 2 calendar days as directed in agency policy.

The agency failed to ensure the medication list/profile for each patient was current and accurate.

The agency failed to ensure all physician orders were documented in the patient's MR for wound care provided.

The agency failed to ensure staff promptly notified the patients' physician with continued medication noncompliance and worsening depressive symptoms and change to wounds and wound care not provided.

The agency failed to ensure services were provided to meet the patient needs.

The agency failed to ensure: 1. The staff documented education to the patient and caregiver when education was performed.

The agency failed to ensure nursing staff documented assessments and wound care provided in an accurate, thorough and clear manner.