Goodhope Healthcare & Home Health Svcs Inc

The Agency failed to review and update its Emergency Preparedness plan.

The Agency failed to ensure the Plan was established based on an updated risk assessment using an all-hazards approach.

The Agency failed to ensure the communication plan included an accurate list of Staff, patient physicians, contracted staff and their contact information.

The Agency failed to conduct emergency exercises as required.

The Agency failed to ensure the Administrator maintained responsibility of the day to day operations.

The Agency failed to ensure a Clinical Manager was available during all operating hours.

The Agency failed to review and update its Emergency Plan and policies biannually; and failed to provide Emergency Preparedness staff training and testing of the Emergency Plan.

The Agency failed to ensure care was provided as indicated in the POC; failed to ensure the POC included treatment for wound(s); failed to ensure the Agency assessed the need for Pneumoccal Pneumonia and/or Influenza Vaccine; failed to ensure verbal orders were reviewed by the physician, within 30…

The Agency failed to review and update its Emergency Plan and policies biannually.

The Agency failed to provide Emergency Preparedness staff training and testing of the Emergency Plan.

The Agency failed to ensure the performance improvement project was implemented.

The Agency failed to ensure staff screened Pts. for COVID-19, prior to providing Pt. care and services.

The Agency failed to ensure staff and Pts. receive infection control and prevention education relative to COVID-19. This has the potential to impact all Pts. and staff within the Agency.

The Agency failed to ensure that clinical documentation entered into the clinical record was completed and accurate.

The Agency failed to ensure the discharge instructions were completed relative to care and services required after discharge, and inform the Physician of the Agency's plan to discharge services.

The Agency failed to investigate and document Pt./family complaints/grievances.

The Agency failed to ensure the POC included treatment for wound(s).

The Agency failed to ensure care was provided as indicated in the POC.

The Agency failed to ensure the Agency assessed the need for Pneumococcal Pneumonia and/or Influenza vaccines.

The Agency failed to ensure verbal orders were reviewed by the Physician within 30 days, as required by the Agency policy.

The Agency failed to ensure the Physician was notified regarding changes in the patient's condition that may warrant a change in the POC.

The Agency failed to ensure discharge plans were communicated to the Pt./family and the Physician, prior to the Agency's discharge.

The chart did not include the titles and line of supervision . The chart also identified the Pt. reporting to "All Contracted & Independent Services" and "Billing Services." 2. During an interview with the Director of Nursing on 3/10/21 at 9:55 AM, The Director of Nursing stated: "The organization…

The Agency failed to ensure the clinical record contained a description of treatment provided to the Pt.

The Agency failed to complete a discharge summary and/or forward a copy of the discharge summary to the Physician, per Agency policy.