Monarch Home Health Inc

The agency failed to ensure the Emergency Preparedness Plan was reviewed and updated at least every 2 years for 1 of 1 Emergency Preparedness Program review.

The agency failed to conduct one Emergency Preparedness test annually and conduct a full-scale exercise as least every two years for 1 of 1 Emergency Preparedness Program review.

The agency failed to meet standards set forth to guide handling of physician orders and failed to follow guidelines, outlined in policy, for reporting missed medication or vitals outside of ordered parameters for 2 of 3 record reviews.

The agency's Governing Body failed to approve the frequency and data collected for the Quality Assessment Performance Improvement (QAPI) program for 1 of 1 QAPI program review.

The agency failed to follow standard precautions related to hand hygiene, equipment cleaning and disinfection to help prevent the spread of disease and infection for 3 of 3 home visit observations.

The agency failed to ensure staff documented wound measurements and assessments in the patient's medical record for 1 of 2 closed record reviews (Patient #7); failed to record the actual time and length of patient’s home visits according to agency policy for 1 of 3 Skilled Nursing home visits (RN…

The agency failed to ensure patients received all services outlined in the plan of care for 1 of 2 closed record reviews.

The agency failed to maintain accurate and up-to-date plan of care documents in home for patients and in patients charts for 1 of 3 home visit observations.

The agency failed to ensure the agency coordinated services with other Entities that provided care outlined in the plan of care for 3 of 3 active record reviews with services from other Entities, with the potential to affect all active patients with outside Entity services.

The Registered Nurse (RN) failed to prepare clinical notes and ensure documentation of wound measurements and assessments were recorded in the patients’ medical record for 1 of 2 closed record reviews (RN 2) (Patient #7); and failed to record the actual time and length of patient’s home visits…

The agency failed to provide staff with proper education and guidance of handling and documenting the transportation of patient medications, for 2 of 3 home visit observations.