Kingsway Home Health Services, Inc

In 33 of 74 assessments submitted for the last 12 months, the Agency failed to submit all timely reports, resulting in a warning.

For 3 of 7 (Pts. #5, #6 and #3) clinical records reviewed, the Agency failed to ensure care was provided as ordered by the Physician as indicated in the POC.

For 3 of 7 (Pts. #1, #2 and #3) clinical records reviewed, the Agency failed to ensure, at time of admission, a copy of the Agency's transfer and discharge policy was provided to Pts. and their families.

For 3 of 7 (Pts. #1, #2 and #3) clinical records reviewed, the Agency failed to provide information regarding the Administrator and their contact information.

For 2 of 7 (Pts. #5 and #4) clinical records reviewed, the Agency failed to ensure PsOC included all the requirements.

For 2 of 2 (Pts. #6 and #7) closed clinical records reviewed, the Agency failed to ensure the Physician was sent a copy of the Discharge Summary within 5 days after discharge.

The Agency failed to establish and maintain an Emergency Plan; failed to ensure its Emergency Plan was based on a facility-based and community-based risk assessment that utilizes an all hazards approach; failed to develop and implement Emergency Plan policies; failed to develop a communication plan…

The Agency failed to provide documentation the Administrator was appointed by the governing body, the Agency Supervisor and Personnel were qualified for their positions, ensure a pre-designated, qualified person was appointed as Alternate Administrator, the Agency Supervisor provides oversight of…

The Agency failed to maintain complete clinical records, including comprehensive assessments, PsOC, Physician orders, clinical notes, interventions and Pt. response, goals for care, Pt. contact information for Pts. and their Physicians, discharge/transfer summaries, and retain clinical records as…

The Agency failed to establish and maintain a comprehensive Emergency Plan.

The Agency failed to ensure it developed an Emergency Preparedness Plan that was based on facility-based and community-based risk assessment, utilizing an all-hazards approach.

The Agency failed to establish and maintain Emergency Plan policies and procedures.

The Agency failed to develop and maintain an Emergency Communication Plan that includes how the Agency collaborates with state and local officials.

The Agency failed to develop and maintain an Emergency Communication Plan that included the required names and contact information.

The Agency failed to provide emergency preparedness staff training, as well as testing of its Emergency Plan.

The Agency failed to retain Pts. records after they were discharged.

The Agency failed to provide documentation the Administrator was appointed by the Governing Body.

The Agency failed to ensure the Director of Nursing or the pre-designated Alternate Director of Nursing is available during operational hours of business.

The Agency failed to ensure it employs qualified personnel.

The Agency failed to provide documentation of a qualified, pre-designated person who assumes the responsibilities of the Administrator in the absence of the Administrator.

The Agency failed to develop, implement, and update individualized PsOC.

The Agency failed to ensure clinical records contained comprehensive assessments, PsOC, Physician orders, and clinical notes.

The Agency failed to ensure clinical records included clinical interventions and Pt. response to these interventions.

The Agency failed to include Pt.

The Agency failed to ensure clinical records included contact information for pts., representatives, and caregivers.

The Agency failed to maintain the contact information for the Physician who will be providing services to the Pts. after being discharged from the Agency.

The Agency failed to maintain the discharge/transfer summaries in the Pts. records.