Premium Health at Home Rawlins LLC

The facility failed to provide initial training to new staff and failed to provide training every two years to existing staff.

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

The agency failed to identify indicators for their QAPI program and monitor and measure the indictors to improve health outcomes, patient safety, and quality of care for the patients.

Waiver case manager interview and staff interview the agency failed to promptly alert the physician to any changes in the patient's condition and/or that the plan of care should be altered for 2 of 7 sample patients (#2, #3).

Medicaid waiver case manager interview and staff interview the agency failed to ensure patients received all the services in the plan of care (POC) for 2 of 7 sample patients (#2, #3).

The agency failed to ensure measurable quality improvements were implemented, measured, analyzed, tracked and monitored.

The agency failed to ensure proper infection control practices were observed in the home during 1 of 3 home visits (patient #7) observed.

The agency failed to ensure patient consent for care forms were completed for 5 of 7 sample patients (patient #1, #2, #3, #4, #7).

The agency failed to ensure the initial assessment visit was completed within the required timeframe for 2 of 7 sample patients (#4, #7).

The agency failed to ensure supplies available for use were not expired in 1 of 1 supply storage area.