Sunset Neighborhood Services Corporation

The Agency failed to ensure the Emergency Preparedness Plan risk assessment was updated / revised.

The Agency failed to have a communication plan that included the required names and contact information.

The Agency failed to ensure that the Agency conducted or participated in a full scale Community Based Exercise or Facility Based Exercise to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

The Agency failed to appoint a clinical supervisor to oversee all personnel and patient care services.

The Agency failed to complete a comprehensive assessment at discharge.

The Agency failed to ensure the Administrator assured plans of care were developed and updated as required.

The Agency failed to ensure that clinical records were complete and included patient's admission consents.

The Agency failed to ensure collaboration with local, regional, State, and Federal emergency preparedness officials.

The Agency failed to ensure Pts. received an individualized Emergency Preparedness Plan, in the event of an emergency or disaster.

The Agency failed to ensure the Physician reviewed and signed the initial POC in a timely manner, and ensure the Physician was consulted after the evaluation visit to approve additions to the POC, and/or approve additional services provided.

The Agency failed to ensure that documentation entered into the clinical record was complete.

The Agency failed to ensure the initial assessment visit was done within 48 hours of the referral date.

The Agency failed to ensure the POC included the medications and the frequency and duration of services.

The Agency failed to ensure staff provide services as indicated in the POC.

The Agency failed to ensure verbal orders were written, dated and signed by the Physician.

The Agency failed to ensure the clinical record included current clinical assessments of the Pt.

The Agency failed to ensure that medications included in the clinical record were accurate.

The Agency failed to ensure staff complete a discharge summary and forward a copy of the summary to the physician.