Hosanna's Home Health Agency, Inc

In 2 of 7 (Pts. #2 and 4) clinical records reviewed, the Agency failed to ensure staff provided services as ordered by the Physician and/or indicated on the POC.

In 1 of 7 (Pt. #1) clinical records reviewed, the Agency failed to include all orders in the plan of care.

The Agency failed to review and update its Emergency Preparedness Plan and policies biannually.

The Agency failed to ensure the Emergency Plan was based on a risk assessment.

The Agency failed to include volunteers in its Emergency Plan, and establish a policy for the use of volunteers.

The Agency failed to review and update its communication plan and policies biannually.

The Agency failed to conduct Emergency Preparedness testing exercises biannually.

The Agency failed to ensure the RN complete a comprehensive assessment at the SOC.

The Agency failed to ensure staff provide service/treatment as ordered by the Physician, and indicated in the POC.

The Agency failed to ensure staff screened Pts. for COVID-19, prior to providing Pt. care and service.

The Agency failed to establish an Infection Surveillance Program for the Pts. and staff relative to COVID-19. This has the potential to affect all Pts. that receive services by the Agency.

The Agency failed to ensure the RN complete a comprehensive assessment, within the last 5 days of the 60-Day certification period.

As of 8/16/21, the record lacked documentation that staff screened the Pt. for the Pneumococcal Pneumonia vaccine during or after the SOC, and whether the Influenza vaccine was arranged or administered after 2016.

The Agency failed to ensure the RN supervised the LPN.