Vanguard Healthcare

The agency failed to complete, review and update the agency’s emergency preparedness and response plan at least annually for 2 of 3 years (2021 and 2022) reviewed.

The agency failed to develop and maintain an emergency preparedness plan 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 for 2 of 2 (2021…

The agency failed to analyze the facility’s response to and maintain documents of all drills, tabletop exercises, and emergency events and revise the agency’s emergency plan, as needed for 2 of 2 (2021 and 2022) years reviewed.

The agency failed to ensure the patient’s Plan of Care was followed for 4 of 7 active patients (#4, #6, #8 and #9) and 2 of 2 discharged patients (#3 and #7) whose records were reviewed.

The agency’s governing body failed to ensure that an ongoing program for quality improvement and patient safety is defined, implemented, and maintained; that the agency’s quality assessment and performance improvement efforts address priorities for improved quality of care and patient safety, and…

The agency failed to only administer drugs, services, and treatments as ordered by the physician for 2 of 9 patients (active patient #9 and discharged patient #3) whose record were reviewed.

The agency failed to promptly alert the relevant physician to any changes in the patient’s condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for 7 of 7 active patients (#1, #2, #4, #5, #6, #8 and #9) and 2 of 2 discharged patients…

The agency failed to integrate orders from all physicians involved in the Plan of Care to assure the coordination of all services and interventions provided by the patient for 2 of 9 patients (active patients #5 and #9) whose records were reviewed.

The agency failed to provide patient and caregiver education for 5 of 7 active patients (#1, #2, #4, #5, and #6) and 1 of 2 discharged patient (#7) whose records were reviewed.

The agency failed to ensure rehabilitative therapy services are provided under the supervision of an occupational therapist or physical therapist that meets the requirements for 1 of 9 patients (active patient #5) whose records were reviewed.

The agency failed to maintain information in the clinical record of the interventions and patient responses to treatments and services that is accurate and adhered to current clinical record documentation standards of practice of all interventions, including medication administration, treatments…