Better Care Home Health and Hospice, Inc.

The agency failed to ensure that infection control guidelines were followed for one patient (#5) of 3 home visits conducted in a total sample of 7 records.

The agency failed to ensure the participant, be informed about, and consent or refuse care in advance of and during treatment, for Occupational Therapy to furnish the care and services, for one Patient (#6), out of a total sample of 7 patients.

The agency failed to ensure that the physician ordered plan of care was followed relative to Occupational Therapy (OT) services for 1 patient (#6), out of a total sample of 7 patients.

The agency failed to ensure the Emergency Plan included a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach.

The agency failed to ensure the Emergency Preparedness Plan included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation.

The agency failed to ensure staff developed and documented an individualized emergency plan in the clinical record for seven Patients (#1, #2, #3, #4, #5, #6 and #7), out of total sample of seven patients.

The agency failed to ensure the agency's Emergency Preparedness's communication plan included the contact information for the Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The agency failed to ensure the Emergency Preparedness plan included a method for sharing information and medical documentation for patients under the agency's care, as necessary, with other health providers to maintain the continuity of care.

The agency staff failed to ensure the Emergency Preparedness (EP) plan included a means of providing information about the agency's occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency staff failed to conform with the physician orders, specifically by not following the ordered home health aide visits for one Patient (#3) out of a total sample of seven patients.

The agency failed to develop policies and procedures that included the required components for infection control specifically related to Covid-19. Findings include: On 6/9/22 at 9:15 A.M., during review of the agency's Infection Control -Covid-19 policies, dated 10/15/21, the surveyor could not…

The agency staff failed to review all current medications for one Patient (#4) out of a total sample of seven patients.

The agency failed to ensure that staff did not provide nursing services, without a physician's order for one Patient (#3), out of total sample of seven patients.

The agency failed to ensure staff communicated with the physician when ordered home visits were missed for three Patients (#3, #6 and #4) out of a total sample of seven patients.