Americare Home Health Care Services Inc

The home health agency failed to demonstrate that initial training in emergency preparedness had been provided to 3 of 5 personnel, Staff C, Staff D, and Staff E.

The home health agency failed to conduct exercises to test its emergency plan at least annually.

The provider failed to develop strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and maintain an emergency preparedness training and testing program that is based on its emergency plan.

The provider failed to conduct training in emergency preparedness policies and procedures to all new and existing staff, and individuals providing services under arrangement, consistent with their expected role.

The provider failed to ensure that all employees participated in testing of their emergency plan in preparedness for any disaster.

The Home Health Agency failed to electronically transmit each completed OASIS (Outcome and Assessment Information Set) assessment to the CMS (Centers for Medicare and Medicaid Services), regarding each beneficiary with respect to which information is required to be transmitted within 30 days of…

The Home Health Agency failed to complete a comprehensive assessment must be updated and revised (including the administration of the OASIS [Outcome and Assessment Information Set]) within the last 5 days of every 60 days in 3 out of 9 Sampled Patients (SP).

The Home Health Agency failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced…

The Home Health Agency failed to have a nurse document the orders in the patient's clinical record, and sign, date, and time the orders in 1 out of 9 Sampled Patients (SP).

The Home Health Agency failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 2 out 9 Sampled Patients (SP).

The Home Health Agency failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 1 out of 9 Sampled Patient (SP).

The agency failed to ensure that a registered nurse or other appropriate skilled professional made an annual on-site visit to the location where patients received care to observe and assess each aide while he or she performed care.

The Home Health Agency failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA was providing patient care, no less frequently than every 60 days, who is not receiving skilled care service in 1 out of 9 Sample Patients (SP).

The home health agency is unable to demonstrate a completed discharge summary for 2 out of 9 Sampled Patients (SP).

The Home Health Agency failed to maintain documentation which demonstrates that an individual may furnish home health services on behalf of a Home Health Agency only after that individual has successfully completed a competency evaluation program for 1 out of 3 personnel file review.

The Home Health Agency (HHA) failed to develop an emergency preparedness plan (Refer 0004); the HHA failed to develop an emergency preparedness plan that contains strategies for addressing emergency events identified by the risk assessment and that included a discussion of emergency preparedness…

The Home Health Agency failed to develop and maintain a federal emergency preparedness plan.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that is based on and include a documented, facility-based and community-based risk assessment, utilizing an all hazards approach and that include strategies for addressing emergency events identified by the risk…

The Home Health Agency failed to develop and maintain an emergency preparedness plan that addresses patient/client population, including, the type of services the facility has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession…

The Home Health Agency failed to develop and implement federal emergency preparedness policies and procedures.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that addressed when and how information is communicated to emergency officials and to include the clinical care needed for patients.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes timelines for transferring patients or under what conditions patients would need to move, the procedures to follow up with on-duty staff and patients, and procedures on how the home health agency will…

The Home Health Agency failed to develop and implement emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The Home Health Agency failed to develop a federal emergency preparedness plan included policies and procedures for the use of volunteers and other staffing strategies in its emergency plan.

The Home Health Agency failed to develop and maintain a federal emergency preparedness plan that included a communication plan that contains how the facility coordinates patient care within the facility, across healthcare providers, and with state and local public health departments.

The Home Health Agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; other…

The Home Health Agency failed to develop a communication plan that included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The Home Health Agency failed to develop an emergency preparedness plan that include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation…

The Home Health Agency failed to develop a communication plan that included procedures to ensure that information necessary to provide patient care is sent with an evacuated patient to the next care provider.

The Home Health Agency failed to develop an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The Home Health Agency failed to develop an emergency preparedness training and testing program that is based on its emergency preparedness, that included strategies and procedures on identified risks and a completed communication plan.

The Home Health Agency failed to conduct training in its emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role.

The Home Health Agency failed to conduct exercises to test its federal emergency preparedness plan and participated in a full-scale exercise that is community-based and/or an individual facility-based exercise.

The Home Health Agency failed to show that 4 out of 4 home health aides received at least 12 hours of in-service training during each 12-month period.

The Home Health Agency failed to ensure that 1 out of 10 Sampled Patient (SP)'s record contained the required documentation.

The Home Health Agency failed to develop complete policies and procedures on Influenza and Pneumococcal vaccines with the consultation of a physician.

The Home Health Agency failed to ensure that onsite Registered Nurse (RN) supervisory visits were conducted to evaluate the care rendered by the Home Health Aide (HHA) at a minimum of every 2 weeks for 1 out of 10 Sampled Patients (SP) receiving skilled and Home Health Aide Services.

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional made an annual on-site visit to the location where a patient is receiving care in order to observe and assess two Home Health Aides (HHA).

The Home Health Agency failed to ensure that a Registered Nurse made an on-site visit to the location where a patient is receiving care no less frequently than every 60 days to observe and assess each Home Health Aide (HHA) while he or she is performing care for 1 out of 10 Sampled Patients (SP).

The Home Health agency failed to ensure that the aide supervision visits for 2 out of 10 Sample Patients (SP) included the required elements.

The Home Health Agency failed to have all clinical notes for services rendered for 2 out of 10 Sample Patients (SP).

The home health agency (HHA) failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) to the Centers for Medicare and Medicaid Services (CMS) system, regarding each beneficiary with respect to which information is required to be transmitted, within…

The home health agency (HHA) failed to transmit Outcome and Assessment Information Set (OASIS) data on 4 out of 7 sampled patients (SP).

The home health agency (HHA) did not transmit test data to Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System or Centers for Medicare and Medicaid Services (CMS) Outcome and Assessment Information Set (OASIS) contractor on 4 out of 7 sampled patients.