Sturgis Hospital, Inc

The Governing Body failed to approve the frequency and detail of the data collection for the QAPI (Quality Assessment and Performance Improvement) program for 2017 and 2018, for a potential to fail in identifying opportunities to improve services and quality of care for the agency's 25 active…

The Registered Nurse (RN) failed to include safety precautions on the aide's care plan, in 2 of 2 records in which Home Health Aide (HHa) services were provided (MR#s 4 and 5) resulting in the potential for the provision of unsafe care.

The agency failed to ensure the contracts (Contract #1 and #2) included all the regulatory language specified in paragraph (f) of this section and with the requirements of section 1861(w) of the Act (42 U.S.C 1395x(w)), resulting in the potential to adversely affect the finances of all patients…

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs in 4…

The registered nurse failed to ensure the plan of care included safety precautions, reportable parameters, and specific individualized interventions based on the patients initial assessment, and objectively measurable goals and outcomes in 6 of 7 records reviewed (MR#s 2, 3, 4, 5, 6, and 7)…

The agency failed to ensure that 2 of 2 contracts (Contract #1 and #2) included the provision that the Home Health Agency (HHA) must maintain overall responsibility for the services provided under contract.

The Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge and progress toward goals in 1 (MR #2) of 3 discharged records, resulting in the potential for unidentified continuing health care concerns and unmet care…