Diverse Home Care LLC

The agency failed to provide services that are ordered by the physician or allowed practitioner as indicated in the plan of care (G710).

This Condition is not met as evidenced by: Based on medical record review and staff interview, the agency failed to ensure home health aides provided services that are included in the plan of care (G800).

The agency failed to provide services that are ordered by the physician or allowed practitioner as indicated in the plan of care for one of four patients reviewed (Patient #1).

The agency failed to ensure home health aides provided services that are included in the plan of care for one of four patients reviewed (Patient #1).

The agency failed to provide the patient with a letter of discharge upon discharging the patient from the agency for one of three medical records reviewed (Patient #3).

The agency failed to provide the patient with a letter of home health agency referrals on discharge for one of three medical records reviewed (Patient #3).

The agency failed to ensure establish a Quality Assessment and Performance Improvement program that measured, analyzed, and tracked quality indicators, including adverse patient events, and other aspects of performance that enable the agency assess processes of care, agency services, and operations…

The agency failed to review and update the emergency plan annually.

The agency failed to maintain a comprehensive emergency preparedness program which would collaborate with the local, tribal, regional, state, and federal emergency preparedness officials.

The agency failed to establish a process for notification of state or local officials of any on duty staff or patients the agency was unable to contact in the event of a disaster or emergency.

The agency failed to establish contact information for federal, state, tribal, regional and local emergency preparedness staff for each county that services were provided in.

The agency failed to conduct either a table top or participate in a full scale community based exercise.

The agency failed to ensure establish a Quality Assessment and Performance Improvement (QAPI) program that measured, analyzed, and tracked quality indicators, including adverse patient events, and other aspects of performance that enable the agency assess processes of care, agency services, and…