Alliance Care Services, Inc

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every 2 years, and included guidance for the Covid-19 pandemic, resulting in lack of direction for Agency personnel in the event of an actual emergency or disaster.

As evidenced by: Based on record review and interview, it was determined that the Agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 4 of 7 (MR# 2, 3, 4 and 6) records reviewed, resulting in incomplete clinical information to aide in…

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every 2 years, and included guidance for the Covid-19 pandemic, resulting in lack of direction for Agency personnel in the event of an actual emergency or disaster.

The Agency failed to ensure an emergency plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, including strategies for the Covid-19 global pandemic, resulting in the potential for lack of preparedness and poor patient and staff…

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for all current staff, patient's physicians and volunteers, as appropriate, which had the potential to negatively affect the health and safety of the 14 patients currently…

The Agency failed to ensure all staff received initial and annual training in the Agency's emergency preparedness program, including training on the Covid-19 pandemic, resulting in staff being ill-prepared in the event of an actual disaster or emergency.

The agency failed to ensure the Home Health Aide followed accepted standards of practice in Infection Control for 1 (MR #5) of 1 patient observed during a home visit, from a total of 7 records reviewed, resulting in the potential for the development and spread of infection.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control of infectious and communicable diseases including Covid-19 as an integral part of the agency's quality assessment and performance improvement program, and failed to develop a…

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to providing care in 3 (MR#'s 4, 6, and 7) of 4 records in which Home Health Aide services were ordered, from a total of 7…

The agency failed to ensure that at least one qualifying service was provided directly by agency employees for 1 of 1 (Contract# 1) contract reviewed, resulting in the potential for all services to be provided by contracted staff.

The agency failed to ensure that clinical records were properly stored, secured and safeguarded against loss or unauthorized use resulting in the potential for compromise of protected health information for all past and current patients serviced by the agency.

The Agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 (MR# 4) of 2 discharged records, resulting in the patient being denied the right to appeal the decision to end Medicare covered…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 4 of 7 (MR# 2, 3, 4 and 6) records reviewed, resulting in incomplete clinical information to aide in determining the needs of these patients and for measuring the patient's progress…

The Agency failed to ensure the Initial and Resumption of Care Comprehensive Assessments included a review of all medications to determine any interactions, adverse effects and duplicate drug therapy in 6 (MR#'s 1, 2, 3, 7, 5 and 4) records with major interactions identified, and failed to ensure…

The agency failed to ensure the plan of care included the frequency of wound care treatments for 1 of 1 (MR# 2) records reviewed with wound care orders, resulting in the potential for poor patient outcomes for this patient.

The Agency failed to ensure the Physician was promptly notified of 1 (MR #7) of 1 patient who sustained a fall with injury, that resulted in hospitalization, from a total of 7 records reviewed, resulting in the potential for MR #7: The patient's start of care was 11/3/20 with diagnoses that…

The agency failed to ensure the registered nurse assessed the patient's weight log every visit for 2 of 2 (MR# 1, 3) patients ordered to monitor weights as indicated in the plan of care, resulting in the potential for poor patient outcomes for these two patients.

The agency failed to ensure that home health aide in-service training was supervised by a registered nurse for 1 of 2 home health aides (HHa#2) employed by the agency for more than 12 months, resulting in a lack of registered nurse supervision to ensure in-service training content is consistent…

The Agency failed to ensure the Home Health Aide provided care and services as ordered in the plan of care for 1 (MR #5) of 1 patient observed during an Aide home visit, of 4 patients with Home Health Aide services ordered, from a total of 7 sampled records reviewed, resulting in the patient not…

The agency failed to ensure that a completed and detailed transfer summary was sent to the receiving facility for 1 (MR #7) of 1 patient who sustained a fall with injury requiring transfer to an inpatient facility, from a total of 7 records reviewed, resulting in lack of continuity of care and the…