Nazareno Home Care

The facility failed to ensure that the Registered Nurse (RN) complies with standard practice precautions to prevent the transmission of infectious agents for 3 out of 4 home visits during the local wound care, urinary catheter insertion procedure and bed bathing.

The facility failed to ensure that the Registered Nurse (RN) and the Licensed Practical Nurse (LPN) complies with standard practice of patient privacy during a procedure.

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director ( employee # 2) on 10/11/2023 at 1:30 PM it was noted that the facility failed to update the Emergency Plan at least every two years as required.

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director ( employee # 2) and the Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to perform a Hazard Vulnerability Assessment (HVA) that…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director ( employee # 2) and Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to have written procedures to notify State and local…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director ( employee # 2) and Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to have in place a written communication plan of how the…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director ( employee # 2) and Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to provide evidence of the Emergency Preparedness…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director (employee # 2) and Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to have written procedures of providing information about the…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director (employee # 2) and Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to develop and maintain an emergency preparedness training…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director (employee # 2) and Administrator (employee #3 ) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to provide documentation of training on emergency…

Findings include: During the review of the facilities Emergency Preparedness Program with the Service Director (employee # 2) and Administrator (employee #3) on 10/11/2023 at 1:30 PM through 4:30 PM it was noted that the facility failed to participate in community based full-scale exercises and…

The facility failed to develop EP Plan, Review and Update Annually.

The facility failed to develop and maintain an emergency preparedness plan that include strategies for addressing emergency events identified by the risk assessment, including the management of the consequences of power failures, natural disasters, and other emergencies that would affect the home…

The facility failed to develop and maintain an EP plan that address patient population, types of services the facility has the ability to provide, continuity of operations and delegation of authority.

The facility failed to develop policies and procedures based on the emergency and communication plan.

The facility failed to develop policies and procedures based on patient individual emergency plan.

The facility failed to provide evidence of policies and procedures to inform State and local emergency preparedness officials about patients in needs.

The facility failed to provide evidence of policies and procedures to contact local authorities in the case the facility cannot establish communications with on duty staff or patients Findings include: The facility did not provide evidence of the policies and procedures to contact local authorities…

The facility failed to develop policies and procedures for medical documentation that preserves patient information, protects confidentiality of patient information and secures and maintains availability of records.

The facility failed to ensure that the emergency plan policies and procedures are develop to facilitate the support of volunteers and other healthcare professionals in an emergency.

The facility failed to develop and maintain an Emergency Preparedness communication plan that complies with Federal, State and local laws.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every two years.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State trivial, regional and local laws and other sources of assistance.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The facility failed to include in its communication plan, a process to communicate the required information to the local and federal agencies in charge in an emergency situation.

The facility did not provide evidence of an emergency preparedness training and testing.

The facility failed to develop and maintain an emergency preparedness training program.

The facility failed to conduct exercises to test the emergency plan.

The facility failed to follow standard of infection control to prevent the transition of infection disease related to screening at the entrance to the facility, failed to performed the exposure COVID- 19 screening question and symptom/illness assessment to employee and visitor at the facility…

The facility failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity evidenced by the lack of compliance with: § 484. 105 (Cross refer Tag G944 and G946).

The facility failed to develop and maintain an emergency preparedness plan that include strategies for addressing emergency events identified by the risk assessment, including the management of the consequences of power failures, natural disasters, and other emergencies that would affect the home…

The facility failed to develop and maintain an emergency preparedness plan that address patient population, types of services the facility has the ability to provide, continuity of operations and delegation of authority.

The facility failed to develop and maintain an emergency preparedness plan that include a process for cooperation and collaboration to maintain a respond during a disaster or emergency situation.

The facility failed to develop policies and procedures based on the emergency and communication plan.

The facility failed to develop policies and procedures based on patient individual emergency plan.

The facility failed to provide evidence of policies and procedures to inform State and local emergency preparedness officials about patients in needs.

The facility failed to provide evidence of policies and procedures to contact local authorities in the case the facility cannot establish communications with on duty staff or patients Findings include: The facility did not provide evidence of the policies and procedures to contact local authorities…

The facility failed to develop policies and procedures for medical documentation that preserves patient information, protects confidentiality of patient information and secures and maintains availability of records.

The facility failed to ensure that the emergency plan policies and procedures are develop to facilitate the support of volunteers and other healthcare professionals in an emergency.

The facility failed to develop and maintain an Emergency Preparedness communication plan that complies with Federal, State and local laws.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The facility failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The facility failed to include in its communication plan, a process to communicate the required information to the local and federal agencies in charge in an emergency situation.

The facility did not provide evidence of an emergency preparedness training and testing.

The facility failed to develop and maintain an emergency preparedness training program.

The facility failed to conduct exercises to test the emergency plan.

The facility failed to ensure that an administrator is appointed by the governing body.

The agency failed to ensure that all home health aide (HHA) has a License as a License Practical Nurse (LPN) or Register Nurse (RN) as per Puerto Rico State law 254 from December 31, 2015. Findings include: On 08/22/2018 at 11:00 am it was found that the HHA Credential file # 2 did not have…

Facility failed to ensure that an administrator is appointed by and report to the governing body.