Nursing South Corporation

The provider failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop an emergency preparedness plan that include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…

The provider failed to ensure that all staff participate in the emergency preparedness training annually, and maintain documentation of the training.

The provider failed to demonstrate tabletop exercise(s) that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The provider failed to complete a competency evaluation by observing an aide's performance of the tasks (communication skills; reading and recording temperature, pulse and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks; safe transfer techniques and…

The provider failed to ensure that a review of all medications the patients are taking on 2 out of 3 Sampled Patients (SP) with home visits made.

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…

The home health agency staff failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 7 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 7 Sampled Patients (SP).

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 2 out of 7 Sampled Patients (SP).

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 1 out of 5 employee record review.

The provider failed to maintain a complete and accurate medical record that included all interventions (assessment of vital signs documentation) for 1 out of 7 Sampled Patients (SP).