Attentive Home Health Care, Inc.

The Agency failed to establish and maintain a current, comprehensive Emergency Preparedness program which included policies and procedures in accordance with 42 CFR 418.113. Failure to meet this requirement has the potential to hinder agency response during an emergency which requires coordination…

The agency did not institute or maintain a Quality Assessment and Peformance Improvement (QAPI) Program, as required by Code of Federal Regulations (CFR) 484.65. The agency: (1) Failed to design or maintain a program that included quality indicators which were measured or tracked, as required under…

The Home Health Agency failed to develop and maintain an Emergency Preparedness Plan.

The Home Health Agency failed to develop and maintain an Emergency Preparedness Plan based on a facility and community based assessment utilizing an all-hazard approach.

The Home Health Agency failed to develop an Emergency Preparedness Plan that addressed the type of services the Agency was able to provide in an emergency and the continuity of operations, delegation of authority and succession plan.

The Agency failed to develop and maintain an Emergency Preparedness Plan that must be reviewed, and updated at least annually.

The Home Health Agency failed to develop and implement Emergency Preparedness Plan, that included how the Agency would respond to patients individual needs as identified in the patients comprehensive assessment, during a natural or man-made disaster.

The Home Health Agency failed to develop and implement an Emergency Preparedness Plan, that included procedures to inform State and local emergency preparedness officials about homebound patients in need of evacuation from their residences at any time due to an emergency situation based on the…

The Home Health Agency failed to develop and implement an Emergency Preparedness Plan, that included procedures to follow up with on-duty staff and patients to determine services that were needed, and inform State and local officials of any on-duty staff or patients that they are unable to contact.

The Home Health Agency failed to develop and implement an Emergency Preparedness Plan, which included a system of medical documentation to preserve patient information, protect confidentiality, secure and maintains availability of records.

The Home Health Agency failed to develop and implement an emergency preparedness plan, that included emergency staffing strategies, a process for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The Home Health Agency failed to develop and implement an emergency preparedness plan, that included a communication plan compliant with Federal, State and local laws.

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

The Home Health Agency failed to develop and implement an emergency preparedness plan, which included a primary and alternate means for communicating with staff, Federal, State, tribal, regional, and local emergency management agencies.

The Home Health Agency failed to develop and implement an emergency preparedness plan, which included a method for sharing information and medical documentation for patients under Agency care, with other health providers to maintain the continuity of care, and providing information about the…

The Home Health Agency failed to develop and implement an emergency preparedness plan, that included a communication plan able to provide information about the Agency needs, and ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The Home Health Agency failed to develop and implement an emergency preparedness plan, which included a Training program to provide: 1) Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers…

The Home Health Agency failed to develop and implement an emergency preparedness plan, which included testing and conducting exercises using the emergency plan, including unannounced staff drills using the emergency procedures, participating in a full-scale community based drill and one additional…

The agency failed to ensure the implementation of a Quality Assessment Performance Improvement Program using measurable indicators.

The agency failed to identify quality indicators based on data approved by the governing body to monitor the effectiveness of care and services and identify areas to improve.

The agency failed to conduct performance improvement activities.

The agency failed to conduct performance improvement activities that tracked adverse patient events in order to analyze the cause and implement preventive actions.

The agency did not conduct performance improvement projects based on data obtained from a Quality Assessment and Performance Improvement program.

The agency failed to include a governing body that was accountable to ensure an effective Quality Assessment and Performance Improvement Program.

The agency failed to ensure the Governing Body assumed responsibility for the management and operation of the agency and did not ensure the agency maintained a functioning Quality Assessment/Performance Improvement program and did not identify and implement any performance improvement projects.

The Agency failed to ensure therapy visit notes signed by agency staff included the title (occupation) of the employee providing the care for 2 of 7 sampled patients (Patient #2 and #4) who were receiving services from a physical therapy assistant.

The Agency failed to ensure a comprehensive assessment accurately represented Advance Directives for 1 of 7 sampled patients (Patient #7).

The agency failed to ensure performance improvement activities that focused on high risk, high volume, or problem-prone areas.

The agency failed to engage in performance activities that focused on incidence, prevalence, and severity of problems.

The agency failed to set a program in place to identify problems that threatened the safety of patients for the immediate correction of those problems.

The agency failed to conduct performance improvement actions and was unable to measure performance improvement.