Horizon Home Health, Inc.

The HHA failed to establish a Comprehensive Emergency Preparedness Program that complied with all applicable Federal, State, and Local Emergency Preparedness requirements that was based off the HHA's Risk Assessment and patient population it serves.

The HHA failed to develop and maintain an Emergency Preparedness Plan that must be reviewed and updated every two years.

The HHA failed to have an Emergency Plan (EP) that was based on a facility-based and community-based Risk Assessment that included strategies for addressing emergency events identified by the Risk Assessment.

The HHA failed to develop an Emergency Preparedness Plan based on the HHA's patient population and failed to determine the services that the HHA would be able to provide during an emergency.

The HHA failed to develop an Emergency Preparedness Plan including a process for collaboration and cooperation with local, tribal, regional, State, and Federal emergency preparedness officials.

The HHA failed to develop Comprehensive Emergency Preparedness policies and procedures based on the HHA's Risk Assessment that must be reviewed and updated every two years.

The HHA failed to include plans for patients during a natural or man-made disaster as part of the comprehensive assessment.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including policies and procedures of the Risk Assessment to inform State and local emergency preparedness officials about patient's needing evacuation.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including policies and procedures on follow-up with on-duty staff and patients in the event there is an interruption of service during or due to an emergency.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including policies and procedures for medical documents.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including policies and procedures to incorporate the use of volunteers.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including a Communication Plan.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including a Communication Plan containing list of names with contact information.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including a Communication Plan that included emergency officials contact information.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including a Communication Plan containing primary and alternate means for communication.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including a Communication Plan containing a method for sharing patient information to other health care providers to maintain continuity of care.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including a Communication Plan containing a method for sharing information on occupancy and needs.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including maintaining an emergency preparedness training and testing program.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including training new and existing staff every two years on the Emergency Preparedness Policy.

The HHA failed to develop a Comprehensive Emergency Preparedness Plan including emergency preparedness testing requirements.

The HHA failed to ensure that wound care was performed for one (Patient (P) 3) of two observed patients' according to the CDC infection control guidelines.

The HHA failed to provide patients with the Outcome and Assessment Information Set (OASIS) Privacy Notice prior to providing care.

The HHA failed to provide patients with the following Federally funded and State funded addresses and telephone numbers: 1.) Agency on Aging; 2.) Center for Independent Living; 3.) Protection and Advocacy Agency; 4.) Aging and Disability Resource Center; and 5.) Quality Improvement Organization.

The facility failed to adequately screen and trace employees (process of identify individuals concerning for an infectious disease and then identifying those exposed to them) for COVID-19 (coronavirus, respiratory viral infection).

This failed practice has the potential to result in the agency not having oversight of personnel not being adequate for the skilled position requirements, thereby resulting in poor quality of patient care.