First Choice Home Health of Ohio, Inc

The agency failed to provide training and to maintain documentation of training on the emergency preparedness plan on hire and at least every two years for all 124 staff providing services for the agency.

The agency failed to integrate orders from all physicians or allowed practitioners involved in the plan of care to assure the coordination of all services and interventions provided to the patient for one of 17 medical records reviewed (Patient #8).

The agency failed to provide home health aide services as directed on the plan of care.

The facility failed to document what interventions were attempted to accommodate a patient's need for a recertification visit.

The facility failed to establish an emergency preparedness program that factored patient mobility into assigning acuity levels (E0007).

The agency failed to include the mobility of individual patients within its patient population to determine the types of service to provide.

The agency failed to ensure its communication plan informed the patients of the call letters to the radio and television stations they were to listen to and the agency failed to include the names and contact information of the places where patients could evacuate to for six of 17 patients reviewed…

The agency failed to ensure plans of care included the patient's risk for hospitalizations and emergency room visits for 12 of 12 active patients reviewed (Patient #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12).

The agency failed to ensure patients received care as ordered for three of five medical records reviewed (Patients #3, #4, and #5).