Gibson General Hospital Inc

The agency failed to address the use of volunteers in the agency’s emergency preparedness plan for 1 of 1 emergency preparedness plan reviewed.

The agency failed to notify physician of changes to home visit frequency made after plan of care (POC) was signed by physician on 3 of 7 record reviews.

The agency failed to use standard precautions to protect patients from infection and communicable disease on 2 of 3 home visits.

The agency failed to maintain an updated individualized plan of care (POC) for 7 of 7 clinical records reviewed.

The agency failed to update patients plan of care (POC) with new orders obtained during certification period on 6 of 7 chart reviews.

The agency failed to ensure each patient's plan of care used individualized outcomes/goals/interventions that were specific and measurable for 5 of 5 active records reviewed (Patients 1, 2, 3, 4, and 5) and 2 of 2 closed records reviewed (Patients 6 and 7).

The agency failed to follow infection control standards of practice for 1 of 3 home visit observations.

The agency failed to ensure the agency performed appropriate screening of visitors and failed to have a policy specific to the home health agency policy for 1 of 1 home health agency.

The Governing Body failed to adopt policies and procedures specific to the home health agency and not that of another entity for 1 of 1 agency.

The administrator failed to demonstrate distinct boundaries of the Medicare-certified program in relation to any other programs the larger organization had to offer in 1 of 1 home health agencies.

The agency failed to prepare accurate clinical notes for 1 of 3 home observation visits.

The agency failed to provide in writing an understandable and accessible discharge/transfer policy to patients for 3 of 3 home visit observations (Patients 1, 4, and 5), which had the potential to affect all patients served by the home health agency.

The agency failed to advise in writing information to patients about charges and payments covered and/or not covered for services provided by the home health agency for 3 of 3 home visit observations (Patients 1, 4, and 5) which had the potential to affect compliance for all patient notice…

The agency failed to ensure the plan of care included the patient's risk for emergency department visits and/or hospital re-admissions with interventions to address identified risk factors for 5 of 5 active record reviews (Patients 1, 2, 3, 4, and 5); and 2 of 2 closed record reviews (Patients 6…

The agency failed to ensure a written medication regimen with instructions were provided to patients for 1 of 3 home visits.

The agency failed to prepare accurate clinical notes for 1 of 3 home observation visits.

The agency failed to provide updated information of names and addresses for the officers, directors, agents and/or managing employees for 1 of 1 home health agency.

The agency failed to ensure there was a current contract or agreement between the home health agency and therapy services of another entity for 1 of 1 home health agency.

The agency failed to ensure agency clinicians were free of communicable diseases for 1 of 5 (employee G) records reviewed.

The agency failed to ensure all personnel who were furnishing services coordinated care effectively in order to support the objectives outlined in the plan of care for 1 of 12 (#5) records reviewed.

The agency failed to ensure care followed the written plan of care for 4 of 12 (#4,5,6,10) clinical records reviewed.

The agency failed to ensure comprehensive assessments were complete and accurately reflected the patient's needs for 12 of 12 ( #1,2,3,4,5,6,7,8,9,10,11,12) clinical records reviewed.

The agency failed to evidence a discharge summary in 1 of 3 (#11) closed records reviewed.