Lewis County General Hospital Chha

The agency failed to ensure the Emergency Preparedness Plan was based on an updated and accurate facility and community hazard vulnerability risk assessment.

The agency failed to ensure the Emergency Preparedness Plan included the types of services the agency could provide during an emergency and continuity of operations to ensure patient needs would continue to be met.

The agency failed to maintain accurate contact information within the Emergency Preparedness Plan.

The agency failed to ensure staff received emergency preparedness education during orientation and/or annually as required.

The skilled nurse failed to assess the patient's ability to manage diabetes.

In 2 of 7 records (patients #2, and 7), the agency failed to develop individualized plans of care that were complete, accurate, and/or addressed the total needs of the patients.

In 2 of 7 records (patients #4 and 5), the skilled nurse failed to communicate with the physician when changes in the patient's condition occurred.

The 09/08/18 physician orders included HHA service 2 times per week for 5 weeks to assist with showers. - On 09/08/18 the skilled nurse (SN) conducted an admission assessment visit and documented patient use of continuous oxygen at 3 liters/minute via nasal cannula, wore tubigrip stockings, and had…

In 2 out of 10 records (Patients #3 and 8), the agency failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patients.