Calumet County Hhc Agency

The agency failed to develop a comprehensive agency specific Emergency Preparedness Program in 1 of 1 Emergency plans reviewed.

The agency failed to integrate EPP (Emergency Preparedness Plan) processes for collaboration and cooperation with local, tribal, regional, and federal officials in 1 of 1 EPP reviewed.

The agency failed to ensure agency specific Emergency Preparedness policies and procedures were developed based on the agency risk assessment in 1 of 1 Emergency plans reviewed.

The agency failed to contain agency-specific EPP (Emergency Preparedness Plan) details for systems of medical documentation in the event of an emergency in 1 of 1 Emergency plans reviewed.

The agency failed to outline agency-specific EPP (Emergency Preparedness Plan) details for providing primary and alternate means of communication in the event of an emergency in 1 of 1 Emergency plans reviewed.

The agency failed to ensure that an emergency preparedness training program was developed for agency staff in 1 of 1 Emergency plans reviewed.

The agency RN (Registered Nurse) failed to provide supervision to the LPN (Licensed Practical Nurse) in 1 of 3 patients (Patient #7) receiving LPN care in a total of 7 patient records reviewed.

The agency RN (Registered Nurse) failed to supervise the HHA (Home Health Aide) no less than every 14 days in 1 of 3 patients (Patient #7) receiving HHA services in a total of 7 patient records reviewed.

The agency failed to provide the patient with a individualized plan of care in the home 1 of 3 home visits conducted (Patient #1) Findings include: On 03/28/2018 at 11:40 AM, review of Policy and Procedure titled "Medical Supervision and Physician Orders for Home Health Care" revealed "Plan of Care…

The agency failed to establish goals identified by the patient in the plan of care in 3 of 5 eligible patient records reviewed (Patient #1, #2, and #5.) Findings include: On 3/28/2018 at 11:40 AM, review of Policy and Procedure titled "Medical Supervision and Physician Orders for Home Health Care"…

The agency failed to document patient progression toward agency established goals in the patient plan of care and/or clinical record in 3 of 7 records reviewed (Patient #4, #5, #7).