Exclusive Services, Inc.

The provider failed to have a complete plan of care for 1 of 5 sampled patients (Patient #2).

The provider failed to ensure staff follow physician orders for 1 of 5 sampled patients (Patient #2).

The provider failed to ensure staff documented all interventions, including ventilator settings for 1 of 1 sampled patient on a ventilator (Patient #1).

The Home Health Agency (HHA) failed to develop a federal emergency preparedness plan that is based on and included a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach (Refer 0006); the HHA failed to develop federal emergency preparedness policies and…

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

The Home Health Agency failed to develop and implement emergency preparedness policies and procedures, based on the emergency plan.

The Home Health Agency failed to develop a Federal Emergency Preparedness communication plan that complies with Federal, state and local laws.

The Home Health Agency failed to develop and maintain an emergency preparedness training and testing program that is based on its emergency preparedness plan that included strategies and procedures on identified risks and a completed communication plan.

The Home Health Agency failed to conduct : Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing on-site services under arrangement consistent with their expected roles; Provide emergency preparedness training at least annually…

The provider failed to ensure that OASIS (Outcome and Assessment Information Set) data is electronically transmitted regarding each beneficiary with respect to which information is required to be transmitted within 30 days of completing the assessment of the beneficiary on 4 out of 7 Sampled…

The Home Health Agency (HHA) failed to show that the physician was notified of the delay in implementing the treatment orders for 1 out of 7 Sample patient (SP).

The Registered Nurse (Staff D) failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 7 Sampled Patients (SP).

The Home Health Agency failed to show that they provided the qualifying service directly through the agency's employees.

The Home Health Agency failed to ensure that all entries were legible and clear for 1 out of 7 Sampled Patients (SP).

The Home Health Agency failed to provide: to 2 out of 7 Sampled Patients (SP) and the patients' legal representatives (if any) a completed service agreement.

The Home Health Agency failed to advise 1 out of 7 Sampled Patients (SP): The extent to which payment for Home Health Aide (HHA) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA; The charges for services that may not be covered…

The Home Health Agency failed to provide an advance notice of discharge in advance of the Home Health Agency reducing or terminating on-going care to 1 out of 7 Sampled Patients (SP).

The Home Health Agency failed to include in the Plan of Care (POC) information related to the description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors for 4 out of 7 Sampled Patients (SP).

The Home Health Agency failed to develop an Influenza and pneumococcal vaccines policy with the consultation of a physician.

The Home Health Agency failed to coordinate care delivery for 1 out 7 Sampled Patients (SP).

The Home Health Agency's staff failed to prepare and record clinical notes for 2 out of 7 Sampled Patients (SP).