Southeast Missouri Hospital Association

The agency failed to assure staff follow agency policy to prevent the transmission of infections and communicable diseases in one (Record/Patient #2) of three home visit observations.

The agency failed to update the written notice of patient rights to ensure that the patient and representative (if any) were advised of the name, address, and telephone number of the Center for Independent Living that served the area where the patient resides.

The agency failed to assure that staff performed a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and…

The agency failed to ensure that all patient care orders, including verbal orders, were recorded in the plan of care in, but not limited to, one (Record/Patient #4) of six full records reviewed.

The agency failed to perform an ongoing interdisciplinary assessment of the patients in, but not limited to, two (Records/Patients #4 and #5) of six full records reviewed.

The agency failed to include a description of the patient's risk for emergency department visits and hospital re-admission on the patient's plan of care in five (Records/Patients #1, #2, #3, #4, and #5) of five cases reviewed.

The agency failed to: - Ensure that the employee disqualification list (EDL) was checked and results obtained prior to the offer of employment for new employees in one (Employee: E 2) of four personnel files reviewed; and - Ensure that the Family Care Safety Registry (FCSR) was requested, and…

The agency failed to provide/send a completed discharge summary to the responsible physician within five business days of the patient's discharge in one (Record/Patient #5) of one applicable discharge record reviewed.