Firstat Nursing Services

The HHA failed to develop an emergency preparedness program that met all of the standards specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the staff and client population during an emergency or disaster situation.

The facility failed to ensure compliance with all applicable Federal, State and local emergency preparedness requirements.

The home health agency (HHA) failed to conduct a comprehensive all-hazards community-based risk assessment to determine potential disasters which could impact the HHA and develop corresponding policies and procedures to ensure patient safety and quality care during a disaster.

The home health agency failed to develop in its emergency preparedness plan (EPP) a written emergency communication plan that contained a description of how the facility will coordinate patient care within the facility, across healthcare providers, and with state and local public health departments…

The agency failed to develop and maintain an emergency preparedness training and testing program based on the emergency plan, risk assessment, policies and procedures and an appropriate communication plan.

The agency failed to notify the provider of potential signs and symptoms of infection and change in condition of a wound, including odor, for 1 of 3 patients (P1) reviewed for wound care.

The agency failed to notify the provider of potential signs and symptoms of infection and change in condition of a wound, including odor, for 1 of 3 patients (P1) reviewed for wound care.

The agency failed to assess wounds as directed in the plan of care (POC), to show progress towards goals, for 3 of 3 patients (P1, P2, P3), reviewed who received wound care treatment as reviewed for wound care.

The facility failed to ensure their communication plan included a method for sharing information for patients under the facility's care, as necessary.

The agency failed to ensure home health aide (HHA) plan of care was completed to identify the needed services and specific patient care instructions for 1 of 1 patient (P2) with home health aide services reviewed.

The agency failed to perform home health aide visits, as ordered by physician, for 1 of 7 patients (P2), reviewed for home care services.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days by a registered nurse for 2 of 7 patients (P1,P2) who received skilled services.