Aurora Community Health

The agency failed to ensure Home Health Agency federal and state regulations were followed in 1 of 1 Home Health Agency reviewed.

The agency failed to ensure skilled nursing services and at least one other therapeutic service were furnished for a total of 5 of 5 patients (Patients #1-#5).

The agency staff failed to document an all-hazards risk assessment as part of the Emergency Preparedness plan in 1 of 1 plan reviewed.

This agency failed to maintain an emergency preparedness training and testing program, in 1 of 1 Emergency Programs reviewed.

This agency failed to implement performance improvement projects (PIP) in 1 of 1 QAPI (Quality Assessment and Performance Improvement) program.

The agency failed to maintain an agency-wide program for the surveillance and identification of infectious and communicable diseases in 1 of 1 Infection Control Program.

This agency failed to ensure there is a comprehensive Emergency Preparedness Program in 1 of 1 Emergency Plans.

This agency failed to develop, implement, evaluate and maintain an effective ongoing home health agency wide data driven QAPI (Quality Assessment and Performance Improvement) program in 1 of 1 QAPI programs reviewed.

This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.

This agency failed to maintain effective administration and organization of the agency functions and services provided.

This agency failed to establish an Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.

This agency failed to document a risk assessment in 1 of 1 Emergency Preparedness programs reviewed.

This agency failed to ensure there is a continuity of operations plan in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is documentation of local and/or regional personnel involved in developing the Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there Emergency Preparedness policies based on a risk assessment, in 1 of 1 Emergency Programs reviewed.

This agency failed to develop policies and procedure in the Emergency Preparedness plan to ensure all patients have an individualized plan in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

This agency failed to establish policy and procedure to inform State and Local Emergency Preparedness officials patients evacuation plan, in 1 of 1 Emergency Programs reviewed.

This agency failed to establish procedures to inform state and local officials of any on-duty staff or patients unable to contact, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is a policy on securing and making medical records available in an emergency, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is a communication plan, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is documentation of emergency contact information, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is documentation of official emergency contacts, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there are multiple means of communication with emergency contacts and officials in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is a policy on sharing medical records in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

This agency failed to develop and maintain an emergency preparedness training and testing program, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure there is a policy for training in emergency preparedness, in 1 of 1 Emergency Programs reviewed.

This agency failed to ensure the emergency plan was tested at least annually, in 1 of 1 Emergency Programs reviewed.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that showed measurable improvements in quality indicators for patient safety and quality of care in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that utilized program data in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that included performance improvement activities in 1 of 1 QAPI program.

This agency failed to develop a QAPI (Quality Assessment and Performance Improvement) program that track adverse events, analyze causes implement preventative actions in 1 of 1 QAPI program reviewed.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that conducted performance improvement projects in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that had continued oversight by the Governing Body in 1 of 1 QAPI program.

The agency failed to maintain an agency-wide program for the surveillance and identification of infectious and communicable diseases in 1 of 1 Infection Control Program.

This agency's governing body failed to maintain oversight of the agency to ensure they followed current regulations in 3 of 3 programs reviewed.

This agency's administrator failed to ensure the agency followed current regulations in 2 of 2 programs reviewed.

The agency failed to notify patients of their right to receive the patient rights form in the individual's preferred language, free of charge, with the use of interpreter, in 1 of 1 Patient Rights forms reviewed.

The agency failed to inform patients of their right to be free from verbal, mental, sexual, and physical abuse including injuries of unknown source, neglect and misappropriation of property in 1 of 1 Patient Rights forms reviewed.

The agency failed to notify patients of their right to receive all services outlined in the plan of care in 1 of 1 Patient Rights forms reviewed.

The agency failed to inform patients of their right to names of federally funded entities (agency on aging, center for independent living, protection and advocacy agency, aging and disability resource center and quality improvement organization) and their contact information for the area in which…

The agency failed to notify patients of the right to receive notice of the patient's rights and responsibilities in the individual's preferred language, free of charge with the use of a competent interpreter, as needed and no later than the completion of the second visit from a skilled professional…

This agency failed to develop a QAPI (Quality Assessment and Performance Improvement) program that was based on high risk, high volume, or problem-prone areas in 1 of 1 QAPI program reviewed.

This agency failed to develop a QAPI (Quality Assessment and Performance Improvement) program that measure incidence, prevalence, and severity of problems in 1 of 1 QAPI program reviewed.

This agency failed to develop a QAPI (Quality Assessment and Performance Improvement) program that leads to immediate correction in 1 of 1 QAPI program reviewed.

This agency failed to develop a QAPI (Quality Assessment and Performance Improvement) program that track performance to ensure improvements are sustained in 1 of 1 QAPI program reviewed.