Good Neighbor Hhc of Brainerd

The agency failed to encode and electronically transmit completed OASIS assessments to the Center of Medicare and Medicaid (CMS) system within 30 days of completing the assessment of the patient for 9 of 9 (P1, P2, P3, P4, P5, P6, P7, P8, P9) patients reviewed.

The facility failed to maintain a CLIA waiver and continued to engage in laboratory testing outside of the context of assisting an individual in self-administering a test with an appliance that has been cleared for that purpose by the Food and Drug Administration.

The facility failed to develop and implement emergency preparedness policies and procedures that included a system to address what action would be required due to the inability to make contact with staff or patients and reporting capabilities to the local and State emergency officials during an…

The agency's communication plan failed to include all required information including names and contact information for the following: current staff, entities providing services under arrangement, and patients' physicians.

The facility failed to ensure their communication plan included a means of providing information about the facility's needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to ensure visits were conducted in accordance with physician orders for 1 of 7 patients (P6) and failed to notify the physician when the visits were not conducted according to the plan of care (POC).

The agency failed to implement an infection control program that included tracking, trending and analysis of client and staff infections.

The agency failed to ensure those staff who were not fully vaccinated or who had been granted an exemption adhere to additional precautions intended to mitigate the spread of COVID-19. During a home visit conducted on 4/26/22, at 10:30 a.m. home health aide (HHA)-A was observed providing personal…

The agency failed to complete a comprehensive drug regimen review to ensure the accuracy of all medications/dosage for 1 of 3 patients (P4) whose medications were reviewed during home visit and record review.

The agency failed to obtain physician orders to provide increased skilled nursing visits (SNV) for 1 of 7 patients (P3) reviewed for home care services.

The home health agency (HHA) failed to provide an ongoing interdisciplinary assessment of a patient during a skilled nurse visit for 1 of 2 patients (P3) observed for skilled nurse visits in the home.

The agency failed to ensure ongoing interdisciplinary assessment of the patient included patient and caregiver education when a patient (P6) was newly diagnosed with Clostridium Difficile (c.difficile) (an infection of the colon that can be transmitted from person to person by touching contaminated…

The agency failed to meet the Conditions of Participation 0001 to develop an emergency preparedness program that met all of the standards specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the staff and client population during an…

The agency failed to ensure emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals, to address surge needs…

The agency failed to develop a written emergency communication plan that contained a description of how the facility will coordinate patient care within the agency, across healthcare providers, and with state and local public health departments in order to protect the health and safety of their…

The agency failed to ensure the physician orders were followed for 1 of 7 patients (P2) who had occupational therapy ordered, but the service had not been provided, and the physician had not been notified the service was not provided.

The agency failed to ensure home health aide (HHA) plan of care identified the needed services or had written specific patient care instructions for 1 of 1 patient (P3) with home health aide services for personal care, observed during a home visit.

The agency failed to ensure 1 of 7 patients (P3) were informed in writing, of the extent of payment from Medicare/Medicaid or the expected out-of-pocket cost to the patient for the services.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 1 of 7 patients (P6) reviewed, in the sample.

The agency failed to complete a comprehensive drug regimen review to ensure the accuracy of all medications/dosages for 3 of 7 patients (P3, P5, P2) whose medications were reviewed during home visit and/or record review.

The agency failed to provide a visit schedule, for 1 of 3 patients (P3), reviewed during a home visit.

The agency failed to ensure communication with all physicians involved in the plan of care for 1 of 7 patients (P4) reviewed, when orders were not followed.