Great Plains Healthcare, Inc.

The agency failed to complete a drug regimen review within the required time frames as part of the update to the comprehensive assessment at the time of discharge for 5 of 5 sampled patients with discharges (Patient #3, #4, #5, #6 and #7).

The agency failed to do the following: 1) ensure patients were advised verbally and in writing of the extent to which payment for services may be expected (G440); 2) ensure agency staff determined discharge for cause that meets the requirements that the patient's (or other persons in the patient's…

The agency failed to do the following: 1) ensure completion of all components of the drug regimen review with recertification, resumption of care and discharge comprehensive assessments (G536); 2) ensure comprehensive assessments were updated and revised the last five days of every 60 day period…

The agency failed to ensure the development of a policy and procedures to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to ensure the development of a written policy and planned procedures to locate on-duty staff and patients in the event of an emergency or disaster and inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of…

The agency failed to have a written policy and procedure for the integration of volunteers, including state and federally designated health care professionals, to coordinate and identify the potential roles to address surge needs during a disaster or emergency.

The agency failed to maintain contact information for Federal, State, regional and local emergency officials.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles at the time of orientation and every other year thereafter for 4 of 7 sampled employees, (Staff B, Staff D, Staff F and Staff G).

The agency failed to ensure agency staff advised the patient or the patient's representative, both verbally and in writing, the extent to which payment for agency services may be expected, charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal…

The agency failed to document the patient's behaviors and circumstances that warranted patient's discharge for cause and the agency's efforts to resolve the problems prior to discharging the patient for cause for 2 of 2 sampled patients discharged for behaviors or non-compliance (Patients #2 and…

The agency failed to notify the patient or the physician prior to discharging the patient for cause for 2 of 2 sampled patients discharged for behaviors or non-compliance (Patients #2 and #10) Failure to provide patient's or their physician with notification that discharge for cause is being…

The agency failed to initiate any efforts to resolve problems presented by the patient's behavior or a situation prior to discharging the patient for cause for 2 of 2 sampled patients discharged for behaviors or non-compliance (Patients #2 and #10) .Failure to attempt to initiate any efforts to…

The agency failed to provide the patient with contact information for other agencies or providers who may be able to provide care prior to discharging the patient for cause for 2 of 2 sampled patients discharged for behaviors or non-compliance (Patients #2 and #10) The agency reported discharging…

The agency failed to initiate any efforts to resolve problems presented by the patient's behavior or a situation prior to discharging the patient for cause for 2 of 2 sampled patients discharged for behaviors or non-compliance (Patients #2 and #10).

The agency failed to complete a drug regimen review within the required time frames as part of the update to the comprehensive assessment at the time of resumption of care, recertification and discharge for 14 of 15 sampled patients (Patients #1, #2, #3, #4, #5, #6, #7, #9, #10, #11, #12, #13, #14…

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 2 of 7 sampled patients requiring a recertification assessment (Patients #1 and #4).

The agency failed to ensure completion of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 2 of 4 sampled patients requiring a resumption of care assessment (Patient #1 and #3).

The agency failed to ensure completion of discharge comprehensive assessments were completed within 2 calendar days of identification of the need to discharge a patient by a clinician who had provided care to the patient directly for 3 of 15 sampled patients requiring a discharge comprehensive…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient or caregiver to meet the patient's needs for 3 of 10 sampled patients (Patients #4, #7 and #10).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 6 of 6 sampled patients with new verbal/interim orders.

The agency failed to complete and send a transfer summary to the physician caring for the patient at the inpatient facility after transfer within 2 business days of the patient's transfer and/or failed to complete and send a discharge summary to the physician and other health care professionals who…

The home health agency failed to ensure each patient received a copy of the individualized emergency plan to keep in the home for 2 of 3 sampled patients with home visits (Patients #1 and #3).

The agency failed to notify the physician of changes in visit frequency ordered on the Plan of Care for 2 of 8 sampled patients (Patients #5 and #8).

The facility failed to accurately complete a drug regimen review, including completion of all required components for 6 of 7 records reviewed (Patient #1, #2, #3, #5, #6 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/ or failed to ensure the Plan of Care contained current, accurate information for 1 of 3 sampled patients (Patient #2) with a home visit observation.

The agency failed to ensure 1 of 2 sampled home health aides (Staff F and G), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 7 sampled patients (Patient #2) with home health aide services, had documented evidence of competency by a…

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services (Patient #2) and a home visit…

The agency failed to ensure the supervision of home health aides by registered nurses maintained documentation of a review of all required supervisory elements including following the patient plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all…

The agency failed to send a discharge summary to the physician or other health care professionals responsible for providing care to the patient after discharge within 5 business days of the patient's discharge for 1 of 2 sampled patients requiring a discharge.