Orion Health Services Inc

The agency failed to ensure the agency developed, maintained, and implemented an written Emergency Preparedness and Response Plan that was based on a documented facility-based and community based risk assessment utilizing an all hazards approach.

The agency's emergency preparedness and response plan failed to include strategies for the use of volunteers to address surge needs during an emergency.

The agency failed conduct exercises to test the emergency preparedness plan in that: The agency failed to participate in a tabletop exercise that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed…

(This is a continuing deficient practice cited at G-0158 on 01/04/16) Based on clinical record review and interview, the agency failed to ensure skilled nursing followed the written plan of care for two of five active patients (Patient 2 and 3) and two discharge patients whose records were reviewed.

The agency failed to ensure that treatments were performed only as ordered by the physician for four of five active patients (Patients 2, 3, 4 and 5) and two of two discharged patients(discharged Patients 6 and 7) whose records were reviewed.