D & J Home Health Agency Inc

The Home Health Agency (HHA) failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually (E0004).

The provider failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan's risk assessment, policies and procedures, and the communication plan that must be reviewed and updated at least annually.

The provider failed to ensure the care follows the written plan of care (POC) established by the physician on 1 out of 7 Sampled Patients (SP).

The provider failed to have staff follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients(SP) with home visits made.

The home health agency failed to provide at least one of the qualifying services (skilled nursing services, physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) directly through agency employees.

The provider failed to ensure that a review of all medications the patient is taking in 3 out of 3 Sampled Patients (SP) with home visits.

The provider failed to include in the individualized plan of care the nutritional requirements, types of service(s), the frequency and duration of visits to be made, and a description of the patient's risk for emergency department visits and hospital re-admission on 3 out of 7 Sampled Patients (SP).

The provider failed to have a policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to document the verbal order(s) in the patient's clinical record, and sign, date, and time the order(s) in 1 out of 7 Sampled Patients (SP).

The provider failed to demonstrate the Plan of Care integrated all services to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines in 1 out of 7 Sampled Patient (SP).

The home health agency staff failed to prepare and record clinical notes for 4 out of 7 Sampled Patients (SP).

The provider failed to have the clinical manager assure the development, implementation, and updates of the individualized plan of care for 1 out of 7 Sampled Patient (SP).

The home health agency staff failed to provide service in accordance with accepted professional standards of practice for 2 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to have a complete clinical record that includes all interventions, including treatments and responses to those interventions made by the home health agency staffs for 4 out of 7 Sampled Patients (SP).

The provider failed to complete a discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge for 1…