Unitypoint at Home

The clinical record lacked a copy of an individualized emergency preparedness plan.

The hospice failed to ensure the development of a procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to ensure the development of a written policy and procedure to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to ensure agency staff developed policies to address a system of medical documentation that preserves patient information, protects confidentiality and secures and maintains availability of patient records during an emergency situation.

The agency failed to include an individualized assessment relating to the patient's current health status when completing comprehensive assessments for 1 of 2 sampled patients with a home visit observation for update to the comprehensive assessment for recertification (Patient #10).

The facility failed to accurately complete a drug regimen review, including completion of all required components for 5 of 17 records reviewed (Patients #1, #7, #10, #13 and #14).

The agency failed to ensure the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 2 of 4 sampled patients requiring a resumption of care assessment (Patients #1 and #17).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 6 of 18 sampled patients (Patients #1, #3, #5, #10, #11 and #12).

The agency failed to update the Plan of Care with new physician orders for 12 of 17 sampled patients.

The agency failed to administer treatments and services only as ordered by the physician for 2 of 17 sampled patients (Patients #10 and #18).

The agency failed to ensure the clinical record included the patient's current physician orders and failed to ensure documentation was completed in a timely manner for 3 of 17 sampled patients (Patients #6, #12 and #17).

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 2 of 5 sampled patients (Patients #14…

The agency: 1) failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care (G572); 2) failed to ensure the agency skilled staff integrate services to assure identification of patient needs and factors that could affect patient safety and treatment…

The agency failed to follow physician orders as indicated on an individualized Plan of Care in a way to meet the needs of the patient for 2 of 7 sampled patients (Patients #1 and #6).

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 2 of 5 sampled patients requiring a recertification assessment (Patients #3 and #7).

The agency failed to ensure accurate completion of all pertinent components of the resumption of care comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 4 of 4 sampled patients requiring a Resumption of Care Assessment (Patients #1, #3…

The agency failed to ensure patient care delivery was coordinated in a way to meet patient individualized needs for 3 of 7 sampled patients (Patients #1, #6 and #7).