Avalon Home Health, LLC

The facility failed to develop an emergency preparedness program based on the requirements of §42 CFR-Part 491.102. The agency failed to conduct facility and community-based risk assessments, based on an all-hazards approach that would enable the agency to participate in addressing patient…

The facility failed to provide patient's rights.

The HHA failed to ensure that the HHA policies and programs were administered to provide quality health care in a safe environment.

The agency COO and Administrator that the facility failed to comply with the Federal, State and local EP requirements to establish and maintain a comprehensive EP program (CFR 42 Part 483.102(a)).

The agency failed to develop an emergency plan that was based on a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach.

The agency failed to provide HHA staff emergency preparedness training at least annually.

The agency failed to participate in a full-scale exercise at least annually and analyze the response to and maintain documentation of all drills, tabletop exercises, and emergency events.

The agency failed to electronically transmit each completed OASIS assessment to the CMS system within 30 days of completing the assessment of the beneficiary for 5 of 324 assessments processed.

The agency failed to ensure direct patient care staff followed accepted standards of practice for the prevention of infection transmission.

The agency failed to provide the patient with complete and accurate written notice of the patient's rights in advance of furnishing care.

The agency had failed to provide the patients with written or verbal notice of the patient's rights in advance of furnishing care to the patient, or during the initial evaluation visit before the initial treatment.

The agency staff failed to implement the agency's policy pertaining to providing patients with information regarding their right to file a complaint with the HHA.

The agency failed to provide patients with the toll-free HHA hotline for the State of Oregon in accordance with this rule.

The agency failed to ensure the registered nurse performed an initial assessment visit within 48 hours of referral for 4 of 7 patient records reviewed (Patients #1, #5, #6, and #7).

The agency failed to perform a complete review of medications that included checking medication orders for accuracy for 1 of 7 patient records reviewed (Patients #7).