Westarm Homecare

The facility emergency preparedness plan and interview with agency administrator the agency failed to develop and implement emergency preparedness policies and procedures that address the use of volunteers in an emergency or other emergency staffing strategies, including the process and role for…

Agency administrator the agency failed to conduct initial training in emergency preparedness policies and procedures new staff for one (1) of five (5) PF reviewed (PF#1) and failed to provide emergency preparedness training annually, per agency policy, for three (2) of five (5) PF review (PF#1…

The agency failed to conduct exercises to test the emergency plan at least annually for three (3) of four (4) years reviewed.

The agency failed to provide all services as ordered for five (5) of ten (10) CR reviewed (CR#2, CR#4, CR#7, CR#8, & CR#9).

The agency failed to complete a review of all medications the patient is currently using for five (5) of ten (10) CR reviewed (CR#1, CR#2, CR#6, CR#8, & CR#9).

The agency failed to ensure the Plan of Care (POC) included supplies, and equipment required for two (2) of ten (10) CR reviewed (CR#4 & CR#9), patient-specific interventions, education and measurable outcomes and goals for three (3) of ten (10) CR reviewed (CR#4, CR#5, & CR#9) Findings included…

The agency failed to ensure the Plan of Care (POC) was updated as frequently as the patient's condition warrants for one (1) of seven (7) CR's reviewed (CR5.) Findings included: Review of agency policy on June 7, 2021 at approximately 10:00am revealed: "Care Planning...B.

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for one (1) of three (3) home visits observed.

The agency failed to ensure the Plan of Care (POC) included supplies, and equipment required for five (5) of seven (7) CR's reviewed (CR2-6), patient-specific interventions and education for six (6) of seven (7) CR's reviewed (CR2-7), and all medications with clear indications for five (5) of seven…

The agency failed to ensure that the physician was promptly alerted to relevant changes in the patient's condition for one (1) of seven (7) CR's reviewed (CR5.) Findings included: Review of agency policy on June 7, 2021 at approximately 10:00am revealed: "Care Planning...B.

The agency failed to ensure an onsite Home Healh aide supervisory visit was conducted no less frequently than every 14 days for one (1) of seven (7) CR's reviewed (CR5.) Findings included: Review of Agency Policy and Procedure Manual on 6/7/21 at approximately 10:00am revealed no policy related to…

The agency failed to ensure the initial training program demonstrated staff knowledge of emergency procedures for seven (7) of seven (7) personnel files reviewed (PF 1 through PF 7).

Staff (EMP) the agency failed to ensure staff implemented standard precautions for hand hygiene during provision of wound care for one (1) of one (1) home visits where staff performed wound care (Observation 1 with EMP 2).

The agency failed to ensure hiring practices for new personnel implemented the criminal background check per the Older Adult Protective Services Act and maintained on file, and/or failed to implement the health screening policy for Mycobacterium tuberculosis per the Centers for Disease Prevention…

Personnel files and interview with director of nursing and administrator the agency failed to ensure criminal background checks were completed per the Older Adult Protective Services Act and maintained on file, and/or failed to ensure health screening for Mycobacterium tuberculosis was completed…

Staff (EMP) the agency failed to ensure skilled nursing staff implemented standard precautions for hand hygiene during provision of wound care for one (1) of one (1) home visit observations where staff performed wound care (Observation 1 with EMP 2).