Evangel Home Care Services
Inspection 2020-07-16
· Complaint, Focused Infection Control, Other-Fed · no deficiencies cited · CMS source report (PDF)Inspection 2018-01-12
· Recertification · 8 deficiencies · CMS source report (PDF)The agency failed to meet the Condition of Participation of Group of Professional Personnel as evidenced by: 1. Professional Advisory Committee (PAC) meetings that were held in October 2015, April 2016 and March 2017 did not include a physician.
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The Administrator failed to organize and direct the agency's functions in that the Administrator; 1. failed to include a physician and at least one member of the group that is not an employee of the agency 2. failed to have all the members of the group of professional personnel participate in the…
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The Administrator failed to employ a qualified Director of Nursing (RN #52) in that: The designated Director of Nursing's RN license is delinquent as of 10/31/2017. Failure of the Administrator to ensure that the DON was licensed and qualified could potentially result in substandard care to all…
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The agency failed to include a physician in the agency's group of professional personnel (PAC) in that: 1. Professional Advisory Committee (PAC) held in October 2015, April 2016 and March 2017 did not include a physician.
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The agency failed to ensure that its group of professional personnel (PAC) included at least one member of the group is not an employee of the agency in that: 1. The PAC meetings held by the agency on 10/30/2015, 03/26/2016 and 03/11/2017, did not include a member of the group who was neither an…
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The agency failed to have all the members of the group of professional personnel participate in the evaluation of the agency's program for 2015, and 2016. The failure of the agency to include all members of the group of professional personnel to evaluate the agency program placed the care of the…
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The agency failed to enforce its written policy to ensure that the Plans of Cares for 3 of 13 patients (#2,#5 and #11) were reviewed and signed by the physician within 60 days according to the agency's policy.
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The agency failed to have a system in place to ensure that completed OASIS assessments were transmitted to the State agency within 30 days of completing the assessments in that: The agency had an error rate of 54.26% for late OASIS submissions from July through December 2017. Twenty nine (29) of 37…
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