Entera Healthcare, Ltd.

The Agency failed to establish policies and procedures based on the risk assessment.

The Agency failed update its Emergency Preparedness Program's Communication Plan.

The Agency failed to conduct the required testing of its Emergency Preparedness Plan.

The Agency failed to submit 82 of 2039 assessments within 30 days of completion.

The Agency failed to ensure the services were provided as ordered in the PsOC.

The Agency failed to disclose Agency's current management information to the State survey agency.

The Agency failed to provide the Pt./patient's representative information regarding the Administrator.

The Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

The Agency failed to ensure Pts. were assessed for need for Influenza and Pneumonia vaccination assessment.

The Agency Staff did not conform to the Physician’s orders.

The Agency failed to follow the vaccination policy and failed to maintain documentation of the weekly COVID-19 testing results of the non-vaccinated employee.

The Agency failed to ensure that the Agency conducted or participated in a full scale Community Based Exercise or Facility Based Exercise at least annually to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

The Agency failed to ensure informed consents contained the disciplines that will furnish care and the frequency of visits.

The Agency failed to ensure the Plan of Care included all medications and treatments.

The Agency failed to ensure patients receive services as ordered in the POC.

The Agency failed to ensure the documentation in the clinical record notes were accurate.