Mrc, LLC

The Agency failed to train their staff on EP Plan and develop a testing program for the EP Plan.

The Agency failed to maintain and ensure a QAPI (Quality Assurance and Performance Improvement) program was established, failed to conduct Performance Improvement Projects and failed to ensure the Governing Body was responsible and involved in QAPI.

The Governing Body failed to provide administrative oversight to the operations of the Agency, the Administrator failed to be responsible for day to day operations, failed to provide complete personnel files, failed to ensure that a clinical manager was available during operating hours, failed to…

The Agency failed to maintain clinical records containing past and current information for every patient accepted by the Agency and receiving home health services, and that the information contained in the clinical record is accurate, and adheres to current clinical record documentation standards…

The Agency failed to develop an Emergency Preparedness training and testing program.

The Agency failed to establish a QAPI program.

The Agency failed to conduct Performance Improvement Projects.

The Agency failed to ensure that the Governing Body was responsible and involved with the Quality Assessment Performance Improvement (QAPI) program.

The Agency failed to ensure the home health aide completed a competency evaluation program . This was found in 1 of 2 (Employee #7) Home Health Aide files reviewed.

The Agency failed to ensure the Governing Body assumed responsibility for the Agency's overall operation.

The Governing Body failed to oversee the fiscal affairs of the Agency to ensure the Agency is financially prepared to provide services to the patients.

The Administrator failed to ensure that the Agency was operational.

The Administrator failed to ensure that a clinical manager was available during all operating hours.

The Administrator failed to ensure personnel files were complete, according to Agency policies.

The Administrator failed to provide evidence that a pre-designated person was authorized in writing to assume responsibility when the administrator is not available.

The Agency failed to ensure that clinical documentation was complete, accurate and incorporated into the clinical record timely.

The Agency failed to complete a discharge summary after the patient's discharge from the Agency.