• The report states: “All (Adult Home) Residents Have The Potential To Be Affected”

• The report states that some of these deficiencies have “…the potential to place patients at risk for poor quality care and negative patient outcomes.”

SUMMARY:

Governing Authority Failure

The governing authority is to be responsible for governing the agency as licensed by the state.

 

“(Camphill Ghent management)… failed to meet the regulation as evidenced by review of six out of six employee files, agency training curriculum and staff interview that the agency maintains compliance with all federal, state,  and local statutes, rules and regulations. “ - Camphill Ghent Deficiencies Report page 7-8

 

Patient Rights

Failed to inform patients or their representatives of their rights

“Based on clinical record reviews and staff interviews evidence is lacking that the agency provided information concerning Advanced Directives. Failure to ensure that patients receive the required information … places all patients at risk for not being able to fully exercise their rights.” – Camphill Ghent Deficiencies Report page 2

 

Medical Orders

“… Governing Authority failed to ensure that medical orders were obtained by an authorized practitioner…” – Camphill Ghent Deficiencies Report page 3

 

“Failure to ensure medical orders are obtained by an authorized practitioner has the potential to result in inaccurate and/or inappropriate care and possible negative patient outcomes.” -  Camphill Ghent Deficiencies Report page 4

 

Clinical Supervision

“(Camphill Ghent)… failure to develop a comprehensive aide plan and supervise the staff to ensure compliance with the aide care plan and physicians orders creates the potential for inaccurate  care, unmet patient needs and possible negative patient outcomes.” – Camphill Ghent Deficiencies Report page 5

 

Governing Authority Failure – HIV Confidentiality training

“Specifically lacking is documentation that education is provided to staff regarding HIV (Human Immunodeficiency Virus) . Confidentiality at time of hire and yearly thereafter.” Camphill Ghent Deficiencies Report page 8

 

“Failure to provide education to staff regarding their responsibility for safeguarding HIV related information has the potential to result in inappropriate disclosure of confidential patient information and/or patient harm.” Camphill Ghent Deficiencies Report page 8.

 

Governing Authority Failure - Complaint Process

“Failure to ensure the development and implementation of a patient complaint procedures which documents the receipt, investigation and resolution of any complaint.”  Camphill Ghent Deficiencies Report page 8

 

(Specifically cited for only having a written complaint process which excludes patients who are not able to write.)

 

Quality Assurance (QA) Committee

“Failure to assure physician attendance at QA meetings and ensure that the QA committee performs all required functions prevents valuable medical input … and has the potential to place patients at risk for poor quality care and negative patient outcomes.” Camphill Ghent Deficiencies Report page 11

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