Advance Home Health Care, LLC

The facility failed to ensure that the Emergency Preparedness Plan was based on an "All Hazards Risk Approach".

The failure to include the use of volunteers during an emergency has the potential to create additional hardship on staff and patients through stress on limited resources..

The failure to conduct the drills increases the potential for harm to patient and staff during an actual emergency by not being able to identify and connect the patient and staff to necessary resources for safe evacuation.

Two of two patients (Patient #'s 1, and 2 ) failed to have accurate documentation in the clinical record of all current medications changes that were prescribed as evidenced by PCP orders.

The HHA failed to alert the physician to changes in the patient's condition for 1 of 1 patient that was transferred to the hospital for emergency treatment.