Community Care, Inc

The agency failed to maintain documentation that demonstrated staff knowledge of emergency procedures initially for three (3) of six (6) PF reviewed (PF#1, 5 and 6).

The agency QAPI failed to measure, analyze, and track quality indicators, including adverse patient events, and other aspects of performance that enable the HHA to assess processes of care, HHA services, and operations for six (6) of six (6) QAPI meeting minutes reviewed.

The facility failed to ensure the EPP included documentation of the facility efforts to contact, cooperate, and collaborate with emergency preparedness officials (local, tribal, regional, state, federal) in order to facilitate an integrated response during a disaster situation.

The agency failed to include policies and procedures to informed State and local emergency preparedness officials about homebound patients in need of evacuation from their residence based on patients medical and psychiatric conditions and home environments.

The agency failed to incorporate emergency staffing strategies for use of volunteers or a process and role for integration of State and Federally designated health care professionals to address surge needs to sustain operations during an emergency.

The facility failed to provide initial training in emergency preparedness (EP) policies and procedures to staff under arrangement, consistent with their expected roles in emergency preparedness training for two (2) of two (2) staff under arrangement reviewed (PF5 & 6.) Findings included: Review of…

Staff (EMP) interview the agency failed to ensure orders were performed per doctors’ orders for two (2) of two (2) patients reviewed receiving wound care (CR5&7) and two (2) of three (3) CR reviewed with lab orders (CR1&3.) Findings included: Review of Agency Policy and Procedure on January 10…

Staff (EMP) interview the agency failed to ensure the Plan of Treatment (POT) included supplies and equipment for three (3) of seven (7) CR's reviewed (CR5, 6, & 7), medications for three (3) of seven (7) CR's reviewed (CR3, 4, & 6,) and orders/interventions for four (4) of seven (7) CR's reviewed…