Home Care Givers Inc

The facility failed to develop an emergency preparedness (EP) plan that included all required components specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the staff and patient population during an emergency or disaster situation.

The home health agency (HHA) failed to develop, implement, evaluate, and maintain an effective, ongoing, data driven quality assessment and performance improvement (QAPI) program.

The home health agency (HHA) failed to establish a governing body, failed to appoint a qualified administrator, failed to assign a clinical manager for oversight of patient care, and failed to establish an organizational structure including lines of authority to attain and maintain highest…

The agency failed to annually review and update the Emergency Preparedness Plan (EPP) to include the Emergency Emerging Infectious Disease program (EID).

The home health agency failed to develop an emergency preparedness plan that was based on and included documented facility based and community based risk assessment.

The home health agency failed to assess the patient population being served for the emergency preparedness plan (EPP).

The home health agency failed to collaborate with the community on an integrated emergency response of the Emergency Preparedness Plan (EPP).

The facility failed to develop policies and procedures for the care and evacuation of homebound patients as part of the emergency preparedness plan (EPP).

The home health agency failed to develop policies and procedures that outlined the surrounding facilities they have an arrangement with to ensure patient care is continued as part of the emergency preparedness plan (EPP).

The agency failed to develop a policy and procedure for protecting medical records as part of the emergency preparedness program (EPP).

The agency failed to develop an Emergency Officials Contact (EOC) Information list as part of the emergency preparedness plan (EPP).

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

The home health agency failed to provide training upon hire or annually related to the home health agencies emergency preparedness plan (EPP).

The home health agency failed to conduct annual emergency exercises to test the emergency plan.

The home health agency (HHA) failed to transmit Outcome and Assessment Information Set (OASIS) data for 1 of 1 patients (P1) payor source medical assistance (MA) who received skilled services, within 30 days after completing the assessments.

The agency failed to complete a comprehensive reassessment, including OASIS (Outcome Assessment Information Set) components, every 60 days beginning with the start of care (SOC) date for 1 of 1 patients (P1) receiving skilled care who required an OASIS.

The home health agency (HHA) failed to ensure 3 of 7 patients (P1, P4, P6) received the appropriate number of visits as ordered by the physician, that the physician was notified of missed visits or that physician orders were obtained for services provided.

The agency failed to ensure an infection control education program was provided for 8 of 8 employees, personal care attendants (PCA-A, PCA-B, PCA-C, PCA-D, PCA-E, PCA-F, PCA-G and registered nurse (RN)-A.

The home health agency (HHA) failed to ensure a registered nurse (RN) performed competency evaluations for 1 of 7 personal care assistants (PCA)-F.

The home health agency failed to ensure in-service training was provided or for 1 of 8 employees, personal care assistant (PCA-D).

The home health agency (HHA) failed to establish a governing body for the overall management and operation of the HHA.

The agency failed ensure an appropriately qualified administrator was appointed to be responsible for all day to day operations, to ensure a clinical manger was available during all operating hours, and to ensure that the agency employed qualified personnel.

The home health agency (HHA) failed to designate a clinical manager (CM) to provide oversight of all patient care services and personnel, failed to ensure the CM was available to make patient and personnel assignments, coordinate patient care and referrals, assure patient needs were assessed, and…

The home health agency (HHA) failed to appoint a qualified administrator for the HHA.

The home health agency failed to provide patients the updated combined State and Federal Bill of Rights prior to starting care for 6 of 6 patients (P1, P2, P3, P4, P5, P7).

The agency failed to ensure that personal care assistant (PCA) services were provided only as ordered by the physician for 1 of 7 patients (P4) in the sample that received PCA services.

The agency failed to ensure the plan of care (POC) was reviewed by a provider every 60 days for 3 of 7 patients (P4, P6, P1).

The home health agency failed to ensure in-service training was offered or was supervised by an RN.

The agency failed to ensure supervision of personal care assistants (PCAs) was completed every 60 days while the PCA was present, for 2 of 2 patients (P2, P5) receiving PCA only services.