Wellspring Healthcare Services, Inc
Inspection 2023-11-30
· Recertification · 9 deficiencies · CMS source report (PDF)The Agency failed to have a communication plan that included an accurate list of required names and contact information.
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The Agency failed to conduct staff training related to the Agency’s Emergency Preparedness Plan.
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The Agency failed to ensure that the Agency’s infection control surveillance plan was complete and accurate by failing to integrate all data, tracking and monitoring for 2 of 2 Pts.
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The Agency failed to ensure Pts. received a copy of the Agency's transfer and discharge policy.
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The Agency failed to ensure Pts. were informed in writing of the disciplines to provide care/service, and the frequency of visits provided by each discipline.
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The Agency failed to ensure an RN performed the initial assessment within 48 hours of the Physician referral for Home Health Care services.
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The Agency failed to ensure Plans of Care included all the requirements.
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The Agency failed to assess the need for Influenza and Pneumococcal Pneumonia vaccines for 6 of 7 (Pts. #1, 2, 3, 4, 5 and 7) clinical records reviewed.
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The Agency failed to ensure that documentation in the clinical record was accurate and complete.
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