A-One-Plus Home Health Care Agency, LLC

The agency failed: to comply with all applicable Federal, State and local emergency preparedness (EP) requirements; to develop, establish and maintain a comprehensive emergency preparedness program that met the requirements, utilizing an all-hazards approach and to review and update the emergency…

The agency failed to train employees about their responsibilities in the agency's emergency preparedness (EP) and response plan in four of (Employees A, B, C and D) of four medicare personnel records reviewed for the years 2017, 2018 and 2019. The failure to complete emergency preparedness training…

The agency failed to test the emergency plan annually for the years 2017, 2018 and 2019. The failure to test the EP plan annually, placed the agency's patients at risk of harm related to lack of organized preparation and planning for care and services in the event of a disaster.

The agency failed to transmit a completed Outcome Assessment Information Set (OASIS) assessment to the Centers for Medicare and Medicaid Services (CMS) system, within 30 days of completing the OASIS assessment of the beneficiary (patient) in: 1. One of Two accepted OASIS assessments submitted on…

The agency failed to conduct Performance Improvement Projects (PIP) for the calendar years 2018 and 2019, that reflected the scope, complexity, and past performance of the agency's services and operations.

The agency's governing body failed to ensure that the home health agency-wide quality assessment and performance improvement (QAPI) efforts addressed priorities for improved quality of care and patient safety, and that all improvement actions were evaluated for effectiveness.

The agency failed to ensure that all entries to patient's clinical records were completed, appropriately authenticated (signature and title of primary author), dated, and timed, one (Patient # 11) of one inactive patient record reviewed.

The agency failed to ensure proper written notice, no later than two days in advance of terminating on-going care in one (Patient # 11) of one inactive patient records reviewed.

The Clinical Manager/Supervising Nurse failed to ensure the development of the individualized plan of care (POC) for one (Patient #11) of one inactive patient record reviewed for skilled services.