Vintage Healthcare Services
Inspection 2023-12-28
· Recertification · 18 deficiencies · CMS source report (PDF)The Agency failed to review and update the Emergency Preparedness plan, complete an all hazards risk assessment, establish a communication plan, and conduct staff training and testing relative to the Emergency Preparedness plan.
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The Agency failed to ensure the Administrator was available for day-to-day operations, a clinical manager or designated alternate was available during operating hours, and a qualified alternate was available during the absence of the Administrator.
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The Agency failed to review and update the Emergency Preparedness plan.
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The Agency failed to complete an all hazards risk assessment.
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The Agency failed to establish an Emergency Preparedness communication plan.
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The Agency failed to conduct staff training and testing relative to the Agency's Emergency Preparedness plan.
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For 3 of 7 (Pts. #2, 4 and 5) clinical records reviewed, the agency failed to ensure the PsOC were signed by the physician.
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For 3 of 7 (Pts. #3, 2 and 5) clinical records reviewed, the Agency failed to ensure staff provided service/treatment as ordered by the Physician and indicated in the PsOC. 2.Patient #2, was admitted to the Home Health Services on 11/01/23 with the Diagnoses of “Athscl Heart Disease of Native…
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For 1 of 7 (Pt. #3) clinical records reviewed, the Agency failed to ensure medications were reconciled with the physicians.
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For 1 of 7 (Pt. #2) clinical records reviewed, the Agency failed to ensure the POC included all necessary Pt. information.
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For 2 of 7 (Pts. #6 and 7) clinical records reviewed, the Agency failed to assess patients' Influenza and/or Pneumococcal vaccine status at the SOC, as required by the Agency.
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For 1 of 1 (Pt. #3) clinical record reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure the Home Health Aide followed the Home Health Aide Care Plan.
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For 1 of 1 (Pt. #3) clinical record reviewed wherein the Pt. received Home Health Aide services, the Agency failed to ensure the RN conducted onsite Aide supervision every 14 days.
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The Agency failed to ensure the Administrator maintained responsibility for day-to-day operations of the Agency.
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The Administrator failed to ensure a clinical manager or designated Alternate Clinical Manager was available during the Agency's operational hours.
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The Agency failed to ensure the Administrator designated a qualified alternate to be available during his absence.
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For 2 of 7 (Pts. #1 and 5) clinical records reviewed, the Agency failed to ensure clinical records included all assessments and clinical notes.
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For 1 of 2 (Pt. #7) closed/discharged records reviewed, the Agency failed to ensure staff completed a summary at discharge.
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Inspection 2021-11-23
· Complaint · 1 deficiencies · CMS source report (PDF)The Agency failed to ensure required items were in clinical records.
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