Based on interview and review of documentation, it was determined that the facility failed to provide a communication plan that included a list with names and contact information of current employees. Findings: Review of the facility's Emergency Preparedness Program with an approval date of 5/4/2022, revealed a list of facility employees and their contact information. The list consisted of 19 employee names and phone numbers. When this list was compared to the list of current facility employees, 8 employee names were found to no longer be employees of the facility. The facility failed to include a current list of employees and their contact information in the Emergency Preparedness Program. On 8/24/2022 at 8:15 AM, the Director was presented with this information. He/she verified the list of names taken from the Emergency Preparedness Program was not a list of current employees of the facility.
Every finding on record at Blue Mountain Hospital District
John Day, Oregon · CCN 381552
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of August 30, 2022
1 finding← Back to the Blue Mountain Hospital District record
Federal survey findings only. State licensure findings for hospices are not shown.
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