Van Buren County Phns

The agency failed to ensure development and maintenance of an emergency preparedness communication plan that must include contact information for Federal, State, tribal, regional and local emergency preparedness staff and other sources of assistance.

The agency failed to ensure the development and maintenance of an emergency preparedness communication plan that included a method for sharing information and medical documentation for patients under the agency’s care, as necessary, with other health providers to maintain the continuity of care.

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 3 of 6 sampled patients.

The agency failed to ensure completion of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care assessment (Patient #3).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 2 of 4 sampled patients without home visits.

The agency failed to ensure agency staff provided services according to an individualized plan of care and contacted the patient's physician to notify the physician to possibly make changes due to an inability to follow the plan of care for 2 of 3 sampled patients (Patients #4 and #5) with physical…

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 1 of 3 sampled patients receiving home health aide services (Patient #3).

The agency failed to perform complete and accurate drug regimen reviews with corresponding comprehensive assessments for 2 of 7 sampled patients (Patients #3, and #4).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient and accurate medication orders for 2 of 3 sampled patients with home visit observations (Patients #1 and #3).

The agency failed to update the Plan of Care with all new physician orders for 6 of 6 sampled patients with interim/verbal orders.

The agency failed to administer treatments only as ordered by the physician for 1 of 7 sampled patients (Patient #3).

The agency failed to integrate orders from all practitioners involved in providing care to the patient into the Plan of Care for 2 of 7 sampled for patients (Patients #4 and #5).

The agency failed to ensure the patient's clinical record included accurate and specific documentation of interventions and maintained pertinent current information in the patient record for 2 of 7 sampled patients (Patients #3 and #6).

The agency did not ensure the emergency preparedness program included a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach specific for the rural health clinic.

The agency failed to ensure training in emergency preparedness specific to a pandemic or COVID-19 for all employed staff and all individuals providing services under arrangement (contract staff).