| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number B03837 | (X3) Date Survey Completed 03/25/2021 |
| Name of Provider or Supplier Kentucky Family Medicine | Street Address, City, State 706 Manor St, Corbin, KY | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| J0136 | PROVISION OF SERVICES 491.9(c) Direct services (3) Emergency. The clinic . . . provides medical emergency procedures as a first response to common life-threatening injuries and acute illness and has available the drugs and biologicals commonly used in life saving procedures, such as analgesics, anesthetics (local), antibiotics, anticonvulsants, antidotes and emetics, serums and toxoids This STANDARD is not met as evidenced by: Based on interview and record review, it was determined the clinic failed to have evidence of Cardiopulmonary Resuscitation (CPR) certification for two (2) of three (3) employees of the clinic. The findings include: Observation of the clinic's drug and biologicals revealed medications used for emergencies. Review of the clinic's policies revealed linkage agreements with local hospitals and local emergency services. Record review revealed the clinic had three (3) staff; two of which were medical staff. However, the clinic failed to have proof of CPR certification on file for the medical staff. Interview with Clinic's Medical Physician, on 03/25/2021 at 12:00 noon, revealed the clinic had not required CPR certification for staff. He stated he was not aware this was a qualification but would be glad to ensure that medical staff were CPR certified. He further stated that the Advanced Practice Registered Nurse (APRN) that worked at the facility "probably had CPR because she worked part time at the hospital". |