Edmarc Hospice for Children

The agency failed to ensure accurate and complete medication reviews for three (3) of seven (7) clinical records reviewed in the survey sample (clinical records #2, 3, and 7).

The agency failed to include a process for cooperation and collaboration with local, tribal, regional, state, and federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation as part of the emergency preparedness plan (EPP).

The agency failed to develop an emergency preparedness plan (EPP) procedure for notifying state and local emergency officials if any on-duty staff or patients were unable to be contacted during or due to an emergency.

The agency failed to develop and maintain a complete emergency preparedness communication plan.

The agency failed to conduct annual testing of its emergency preparedness plan (EPP).

The agency failed to implement a coordinated agency-wide program for the surveillance of infections.

The agency's staff failed to ensure the following; each patient's individualized plan of care included measurable goals, evidence that the patient/caregiver participated in goal setting, their risk for rehospitalization or emergency department visits, all medications, and treatments that were…