Oroville Hospital

The facility failed to maintain an emergency plan that was reviewed and revised every two years when the Emergency Plan signature page was dated 2016. This failure had the potential to cause emergency mitigation strategies to be inadequate to address current situations, leading to damage of…

The facility failed to maintain accurate clinical records when one of 17 sampled patients (Patient 9) had a wound that was not completely assessed upon discovery.

The facility failed to ensure that services provided conform with physician’s orders when orders for four of 17 sampled patients (Patients 8, 9, 10, and 13) were not carried out as specified by the physician.

The facility failed to ensure that standard infection control precautions were followed during home visits when: 1. A barrier was not consistently used to protect supplies and reusable equipment.

The agency failed to ensure skilled professional services were delivered according to the agencies policy and procedures when: 1. Patient 1’s pain was not assessed during a nursing home visit. .

The agency failed to honor Patient 3’s rights when he experienced discomfort during placement of a urinary catheter (tube inserted into the bladder connected to a drainage bag) and requested a licensed nurse to stop.

The facility failed to conduct an initial assessment within 48 hours of the referral, for one of 17 sampled patients (Patient 10).

The facility failed to ensure that a comprehensive assessment was updated and revised within 48 hours of Patient 1’s return home from a hospital admission.

The facility failed to ensure that the physician was notified of patient changes of condition or the need to alter the plan of care for four of 17 sampled patients (Patients 1, 8, 9, and 13) when: 1. Patient 1, 8 and 13's missed visits. 2. a.

The facility failed to make annual onsite supervisory visits to patients receiving Home Health Aide services.

The agency did not ensure they followed one of 15 sampled patients (Patient 10) plan of care (physician's orders), the facility also did not notify the physician when there was a change to the patient's plan of care.

This agency failed to ensure that two of 15 sampled patients (Patients 10 and 15), were assessed by a registered nurse within 48-hours of their referral for services, and if not, then their physician's would be notified.

This agency failed to ensure that one of 15 sampled patient's (Patient 13) plan of cares (physician's orders) was complete, when it neglected to specify the disciplines who were to visit and their planned frequencies.

This agency failed to ensure that one of 15 sampled patient's (Patient 6) received services that were ordered by the physician.

This agency failed to ensure that nursing documentation was completed and entered into the record in a timely fashion for one of 15 sampled patients (Patient 7), when a visit note was completed six days after the visit was conducted.

The agency failed to ensure the development, implementation, and updates to two of 15 sampled patient's (Patients 2 and 15) plans of care (physician's orders), when they were not signed within thirty (30) working days as required by State law.

This facility failed to ensure that the medical records of 15 of 15 sampled patients (Patients 1-15), were accurate when an obsolete address for this agency was printed within these records.