Angels Above Home Care, LLC

The HHA failed to develop a comprehensive Emergency Preparedness Plan in compliance with the Conditions of Participation (CoPs) for Emergency Preparedness (EP).

The agency failed to include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials.

The agency failed to develop and implement emergency preparedness policies and procedures, based on the emergency plans risk assessment, and the communication plan.

The agency failed to develop and implement policies and procedures for individualized emergency preparedness plans as a part of the patient's comprehensive assessment for seven of seven patients (Patient (P)1, P2, P3, P4, P5, P6, and P7).

The agency failed to develop and implement policies and procedures to inform State and local emergency preparedness officials about home health agency (HHA) patients in need of evacuation from their residences during an emergency.

The agency failed to develop and implement policies and procedures to follow up with on-duty staff and patients to determine services that are needed when there is an interruption in services due to an emergency, and additionally, inform State and local officials of any on-duty staff or patients…

The agency failed to develop and implement policies and procedures describing a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The agency failed to develop and implement policies and procedures for the use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to develop a written emergency 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 agency failed to develop a written emergency communication plan that included names and contact information required in the event of an emergency.

The agency failed to develop a written emergency communication plan that included all required sources of assistance.

The agency failed to develop a written emergency communication plan that included a primary and alternate means of communication.

The agency failed to develop and maintain an emergency preparedness training and testing program that was based on the emergency plan.

The agency failed to develop and maintain an emergency preparedness training and testing program for all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role.

The agency failed to develop a procedure to identify infections, communicable diseases, or risks of infections and diseases among patients, as part of a coordinated agency-wide program for surveillance, identification, prevention, control, and investigation, specific to care and services provided…

The agency's Governing Board and the Administrator failed to establish and approve in advance a pre-designated person in writing, who is qualified and would be responsible for fulfilling the role of the administrator in his/her absence.