Aveanna Healthcare

Agency staff-Home Health Aide failed to follow written instructions for patient care for two (2) of eight (8) records reviewed.

The agency administrator the agency failed to ensure adequately qualified staff to meet patients needs for two (2) of eight (8) records reviewed.

The facility failed to document its efforts of cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts for one of one plan developed by 11/15/17. Findings included: Review of Emergency Preparedness Plan on 1/18/18, at approximately…

The home health agency failed to ensure that all employees (including subcontracted personnel) have received education and instruction of emergency preparedness training at least annually for two (2) of two (2) subcontracted therapy staff employed by the agency (PF1 and 2).

The facility failed to conduct an additional full-scale or tabletop exercise to test the Emergency Preparedness Plan before 11/15/17. Findings included: Review of Emergency Preparedness Plan on 1/18/18, at approximately 12:01 PM, read," ... revised 10/24/17 ...Training and Testing ... The agency…

The home health agency failed to provide services that are ordered by the physician as indicated on the plan of care for three (3) of seven (7) CRs reviewed (CR4, 5 and 6).

The Plan of Care did not contain: 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 Patient-specific interventions and education; measurable outcomes and goals identified by the…

The agency failed to ensure that agency staff documented the time that the verbal orders were received for the start of care in the CR for seven (7) of seven (7) CRs reviewed (CR1-7).

The agency failed to ensure the coordination of care provided by all disciplines for two (2) of seven (7) CRs reviewed (CR1 and 3).

The home health agency failed to provide services that are ordered by the physician as indicated on the plan of care for three (3) of seven (7) CRs reviewed (CR4, 5 and 6).

The agency failed to ensure that agency staff communicated with the physician related to abnormal findings related to patient assessments for two (2) of seven (7) CRs reviewed (CR1 and 3).

The agency failed to ensure the COTA was supervised by the occupational therapist (OT) for one (1) of one (1) CR that received OT services from the home health agency (CR6).

The agency failed to ensure that contracted therapists were oriented to the home health agency policies for one (1) of two (2) contracted employees (PF1).