Moore Genuine Care
Inspection 2024-01-30
· Recertification · no deficiencies cited · CMS source report (PDF)Inspection 2018-02-27
· Recertification · 38 deficiencies · CMS source report (PDF)This home health agency failed to ensure there is a comprehensive Emergency Preparedness Program in 1 of 1 Emergency Plans Reviewed.
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This agency failed to develop, implement, evaluate and maintain an effective ongoing home health agency wide data-driven Quality Assessment and Improvement program (QAPI) in 1 or 1 Quality program reviewed.
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This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.
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This agency failed to establish an Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.
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This agency failed to document a risk assessment in 1 of 1 Emergency Preparedness programs reviewed.
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This agency failed to ensure there is a continuity of operations plan in the event of an emergency, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is documentation of local and/or regional personnel involved in developing the Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there Emergency Preparedness policies based on a risk assessment, in 1 of 1 Emergency Programs reviewed.
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This agency failed to develop policies and procedure in the Emergency Preparedness plan to ensure all patients have an individualized plan in the event of an emergency, in 1 of 1 Emergency Programs reviewed.
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This agency failed to establish policy and procedure to inform State and Local Emergency Preparedness officials patients evacuation plan, in 1 of 1 Emergency Programs reviewed.
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This agency failed to establish procedures to inform state and local officials of any on-duty staff or patients unable to contact, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is a policy on securing and making medical records available in an emergency, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is a policy on the use of volunteers in an emergency, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is a communication plan, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is documentation of emergency contact information, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is documentation of official emergency contacts, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there are multiple means of communication with emergency contacts and officials in the event of an emergency, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is a policy on sharing medical records in the event of an emergency, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is a communication plan that complies with federal, state, and local laws , in 1 of 1 Emergency Programs reviewed.
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This agency failed to develop and maintain an emergency preparedness training and testing program, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure there is a policy for training in emergency preparedness, in 1 of 1 Emergency Programs reviewed.
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This agency failed to ensure the emergency plan was tested at least annually, in 1 of 1 Emergency Programs reviewed.
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This agency failed to develop a QAPI program that measured, analyze, and tracked quality indicators in 1 of 1 QAPI program reviewed.
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This agency failed to use quality indicator data in design of the QAPI program.
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This agency failed to develop a QAPI program that tracked performance improvement activities in 1 of 1 QAPI program reviewed.
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This agency failed to develop a QAPI program that track adverse events, analyze causes implement preventative actions in 1 of 1 QAPI program reviewed.
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This agency failed to document the quality improvement projects undertaken in 1 of 1 QAPI program reviewed.
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This agency's governing body failed to ensure a ongoing QAPI program was implemented and maintained in 1 of 1 QAPI program reviewed.
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This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.
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This agency failed to maintain a method for identifying infections and communicable disease problem in 1 of 1 infection control programs reviewed.
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This agency failed to provide infection control education to staff, patient and caregivers 1 of 1 infection control programs reviewed.
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This agency's administrator failed to ensure the agency followed current regulations in 2 of 2 programs reviewed.
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This agency failed to ensure patients were provided this agency's action to prevent further violations after a complaint investigation in 3 of 3 records reviewed for patients admitted after 1/13/2018 (Patients #1, #3 & #8).
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This agency failed to individualize the plan of care to include the patient's psychosocial and cognitive status, risk of emergency department visits, re-admission, all necessary interventions to address underlying risk factors, patient and caregiver education, and training to facilitate a timely…
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This agency failed to develop a QAPI program that based on high risk, high volume, or problem-prone areas in 1 of 1 QAPI program reviewed.
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This agency failed to develop a QAPI program that measure incidence, prevalence, and severity of problems in 1 of 1 QAPI program reviewed.
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This agency failed to develop a QAPI program that leads to immediate correction in 1 of 1 QAPI program reviewed.
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This agency failed to develop a QAPI program that track performance to ensure improvements are sustained in 1 of 1 QAPI program reviewed.
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