Assured Home Health

The agency failed to operationalize its policies and procedures to remain compliant with state licensing requirements for 11 of 11 personnel files reviewed (Staff # 603 Staff #604, Staff #605, Staff #606, Staff #607, Staff #608, Staff #609, Staff #610, Staff #611, Staff #612, and Staff #613).

The agency failed to provide the Notice of Medicare Non-Coverage (NOMNC) on patients being considered for discharge for cause on 2 of 5 discharged patient records (Patients #615 and #616).

The agency failed to properly prevent COVID-19 through failure to ensure that staff wore eye protection consistent with Washington State regulations for 6 of 7 Home Health staff (Staff #405, #407, #408, #409, #503, and #504).

The agency failed to implement policies and procedures in compliance with CFR 484.50 (e)(2) and WAC 246-335-525 (8) (a-b).

The agency failed to properly prevent COVID-19 through failure to ensure that staff wore eye protection consistent with Washington State regulations for 6 of 7 Home Health staff (Staff #405, #407, #408, #409, #503, and #504).

The agency failed to fully conduct both a facility-based and community-based risk assessment using an all-hazards approach to include the strategies for addressing emergency events identified in the risk assessment.

The facility failed to include documentation of the facility's efforts to contact local, tribal, regional, State, and Federal emergency preparedness officials, to coordinate an integrated response during a disaster or emergency.

The agency failed to develop a P&P defining how the agency will incorporate the individual plans for each patient as part of the comprehensive assessment.

The agency failed to develop a P&P defining how the agency will inform State and local emergency preparedness officials about Home Health Agency patients in need of evacuation from their residences during emergency situations based on the patient's medical or psychiatric condition and home…

The agency failed to develop a P&P defining how the agency will follow up with on-duty staff and patients to determine services that are needed in the event of a disruption or emergency situation.

The agency failed to develop a P&P defining how the agency will preserve patient information, protect confidentiality of patient information, secure and maintain availability of records in the event of an emergency situation.

The agency failed to develop policies and procedures that included the use of volunteers and other staffing strategies in their emergency plan.

The agency failed to develop an emergency preparedness communication plan that included alternate means for communicating with facility staff, Federal, State, tribal, regional and local emergency management agencies.

The agency failed to develop and maintain an emergency preparedness training and testing program, based on the agency's risk assessment, policies and procedures, and communication plan.

The agency failed to develop initial emergency preparedness and annual emergency preparedness staff trainings.

The agency failed to participate in a full-scale community-based, or an individual facility-based emergency exercise.

The agency failed to implement policies and procedures in compliance with CFR 484.50 (e)(2) and WAC 246-335-525(8)(a-b).

The agency failed to conduct the initial assessment visit within 48 hours of receiving a referral for 1 of 7 patients in the sample (Patient #7).

The Agency failed to provide patients/family with the description of the process for submitting and addressing complaints as required in the Bill of Rights, WAC 246-335-535(17).