Spoon River Home Health Services

For 1 of 5 (Pt #12) patients, reviewed for discharge summaries, the agency failed to ensure there was a completed discharge summary.

In 3 of 17 (Pt #2, Pt #7, Pt#8) patients' records reviewed, the Agency failed to ensure documentation was appropriately authenticated, dated, timed.

For 3 of 9 (Pt #6, Pt #12, Pt #13) patients records reviewed, the Agency failed to ensure a Plan of Care was developed and documented within 5 days and/or received services per the Plan of Care.

For 2 of 13 (Pt #9, Pt #13) patients records reviewed, the Agency failed to ensure medications were administered per physicians order.

For 6 of 9 (Pt #6, Pt #7, Pt #9, Pt #11, Pt #12, Pt #13) patients records reviewed, the Agency failed to ensure orders and verbal orders were included in the Plan of Care.

For 1 of 13 (Pt #9) patients records reviewed, the Agency failed to ensure physician's involved in the Plan of Care were communicated with.

The Agency failed to establish an Emergency Preparedness (EP) Plan based on a documented facility-based and community-based risk assessments that utilized an all-hazards approach and included strategies to address emergency events identified in the risk assessments.

The Agency failed to establish an Emergency Preparedness Plan (EP) that accurately delegated lines of authority and succession plans.

The Agency's Emergency Preparedness Plan failed to establish a process to inform emergency preparedness officials of the patients' specific needs if an evacuation is required.

The Agency's Emergency Preparedness Communication Plan failed to include names and contact information per policy.

The Agency's Emergency Preparedness (EP) Communication Plan failed to include contact information for Federal, State, regional, and local emergency preparedness staff for all counties served.

The Agency's Emergency Preparedness (EP) Plan failed to provide emergency preparedness training per policy.

For 2 of 2 (Pt #1, Pt #5), patient home visits for therapy services, the Agency failed to ensure infection control measures were observed to prevent the potential for cross-contamination.

For 8 of 8 (E#4, E#5, E#6, E #7, E#8, Home Health Aide (HHA)#1, HHA#2, HHA#3) personnel files reviewed, the Agency failed to ensure employee's were screened for Tuberculosis (TB/tb-Infectious Lung Disease) per policy.

In 2 of 13 (Pt #6, Pt #7) patients' records reviewed, the Agency failed to ensure documentation was complete, accurate, dated, timed, and authenticated with signature.

For 3 of 5 (Pt #1, Pt #2, Pt #3) patients, the Agency failed ensure medications were reviewed to accurately reflect what the patient is taking and/or discrepancies were followed up on.

In 4 of 4 (Pt #1, Pt #2, Pt #4, Pt #5) patients reviewed for contents of the Plan of Care (POC), the Agency failed to ensure the POC included all the required pertinent information identified in the comprehensive assessment to provide care and services, which meets the identified patient needs.

For 3 of 3 (Pt #1, Pt #2, Pt #3) patient home visits reviewed for home medication list and instructions, the Agency failed to ensure patients and/or caregivers were provided with a medication schedule with instructions and updated as needed.

For 1 of 4 (Pt #11) patient receiving Occupational Therapy (OT) services, the Agency failed to ensure OT services were initiated in accordance with its agreement.