Personal Touch, Inc

The agency failed to develop a patient centered QAPI Program for all future patients and current staff.

The agency failed to ensure emergency preparedness disaster tabletop exercises/drills, staff sign in sheets and after-action reports were present and completed for tabletop drills that were conducted for the fiscal years 2022 and 2024 for all patients and staff members.

The agency failed to develop a patient centered QAPI Program for all future patients and current staff.

The agency failed to ensure the utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and staff.

The agency failed to develop performance improvement activities that focused on high-risk problem areas for all patients and staff.

The agency failed to document PIPs conducted through their QAPI Program for all employees and future patients.

The agency failed to ensure CHHA completion of 12 hours of annual training for one (CHHA #1) of one CHHA.

The agency failed to include the correct contact information for the Oklahoma State Department of Health in Patient Rights policies for future patients, their families or caregivers to lodge a complaint Findings: A Review of a Patient's Rights policies and admission packets showed an incorrect…

The agency failed to document performance improvement within the QAPI Program for all patients and staff.

The agency failed to ensure skilled professional staff participated in the QAPI program for 2 (Staff 1 and 2) of two professional staff.

The agency failed to develop a patient centered QAPI Program.

The agency failed to document emergency drills from January 1, 2018 - December 31, 2018 for 58 current patients and all current employees.

The agency failed to develop a patient centered QAPI Program for 58 current patients.

The agency failed to ensure the utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement.

The agency failed to develop performance improvement activities to track adverse patient events.

The agency failed to ensure performance improvement projects were developed and implemented.

The agency failed to ensure an ongoing, comprehensive QAPI program was approved by the governing body.

The agency failed to develop performance improvement activities that focused on high risk problem areas.

The agency failed to develop a QAPI Program to identify potential threats to the health and safety of patients.

The agency failed to document performance improvement within the QAPI Program.

The agency failed to ensure clinical notes were completed and included in the clinical record for four (Patients #1, 2, 4 and 5) of seven patients.