Inland Home Health Providers Inc

The agency failed to demonstrate staff knowledge of emergency procedures for two of seven sampled patients (Patients 1 and 3) when a Certified Home Health Aide (CHHA) and a Licensed Vocational Nurse (LVN) could not explain the backup plan in the event of a communications failure.

The agency failed to ensure a Registered Nurse (RN) provided a Certified Home Health Aide (CHHA) with written patient care instructions for one of seven sampled patients (Patient 1) when the Home Health Aide Care Plan did not include required blood pressure reporting parameters (indicating what…

The Governing Body (GB) failed to operate and manage the agency from March 24, 2023 (the last standard recertification survey), to April 6, 2026, in a universe of 49 patients (Patients 1 to 49) when a current California Department of Public Health (CDPH) Laboratory Registration was not maintained.

The agency failed to ensure personal respect and privacy for one of seven sampled patients (Patient 3) when a Skilled Nurse (SN) performed a body assessment and an assessment and care for a urinary appliance (a device used to collect or drain urine from the body when a person cannot urinate…

The agency failed to ensure a review of all the medications the patients were taking was conducted for two of seven sampled patients (Patients 2 and 3) when the Medication Profile (MP), indicated: 1. For Patient 2: The MP indicated Trelegy Ellipta (a medication to make breathing easier), 100 mcg…

The agency failed to obtain physician’s orders for one of seven sampled patients (Patient 1) when heart rate (pulse rate) reporting parameters of “Parameters to Report to Supervisor: … Pulse Rate: Above 110 [bpm--beats per minute] or Below 50 [bpm]” were documented on Patient 1’s “Home Health Aide…

The agency failed to ensure that the Condition of Participation: E 001 484.102 Establishment of the Emergency Program (EP) was in compliance as follows: 1. Based on interview and record review, the agency failed to conduct and document a community-based and/or facility-based risk assessment…

The agency failed to ensure that the Condition of Participation: G 680 484.70: Infection prevention and control was in compliance when: Based on interview and record review, the agency failed to maintain an infection control program with infection surveillance and identification data that was…

The agency failed to conduct and document a community-based and/or facility-based risk assessment (community/facility-based includes, but is not limited to, hazards specific to a facility based on the geographic location; patient population; facility type and potential surrounding community assets…

The agency failed to develop a policy and procedure to collaborate with local, regional, State, and Federal emergency preparedness officials to cooperate in the planning efforts and maintain an integrated response during a disaster or emergency, for 14 of 14 months reviewed, in a universe of 50…

The agency failed to implement procedures to inform emergency preparedness officials about patients in need of evacuation and the needs the patients would require during the evacuation process, for 14 of 14 months reviewed, in a universe of 50 patients.

The agency failed to develop a procedure and/or process to inform state and local officials of on-duty staff and patients they were unable to contact during a disaster or emergency, for 14 of 14 months reviewed, in a universe of 50 patients.

The agency failed to develop a policy and procedure to provide for emergency staffing during a disaster or emergency, for 14 of 14 months reviewed, in a universe of 50 patients.

The agency failed to develop and maintain an emergency preparedness communication plan that included contact information for Federal, State, tribal, regional, and local emergency preparedness staff, for 14 of 14 months reviewed, in a universe of 50 patients.

The agency failed to develop a policy and procedure for a back-up communication plan with Federal, State, tribal, regional and local emergency management agencies in the event of communications (phone service, including cellular phone and Internet) failure during a disaster or emergency, for 14 of…

The agency failed to develop a policy and procedure to provide information about the agency's occupancy, needs and staff available to help during an emergency or disaster, to the authority having jurisdiction, for 14 of 14 months reviewed, in a universe of 50 patients.

The agency failed to develop and maintain a testing program for its Emergency Plan, for 14 of 14 months reviewed, in a universe of 50 patients.

The agency failed to conduct full-scale emergency preparedness exercises that were community based (a full-scale exercise is a multi-agency, multi-jurisdictional, multi-discipline exercise involving functional [for example, joint field office, emergency operation centers, etc.] and "boots on the…

The agency failed to maintain an infection control program with infection surveillance and identification data that was integrated into the agency's Quality Assessment Performance Improvement (QAPI) program in order to identify infection trends (analysis of a pattern), develop action plans and…

The agency failed to ensure a review of all medications the patients were taking was conducted for two of seven sampled patients (Patients 2 and 3) when: 1. For Patient 2, two medications the patient was taking were not indicated on the medication profile (MP - a current list of all medications…

The agency failed to obtain a physician's order to conduct pulse oximetry readings (O2 Sat.-a procedure that measures the amount of oxygen in the blood) for one of seven sampled patients (Patient 2).

The agency failed to ensure coordination of care with patients' caregivers for one of seven sampled patients (Patient 2) when the caregivers failed to report oxygen saturation (O2 Sat.-a procedure that measures the amount of oxygen in the blood) levels below 90% (percent) to the agency.

The agency failed to ensure its Quality Assessment and Performance Improvement (QAPI) Program measured, analyzed and tracked quality indicators (a measurable element of the agency's practice that can be used to assess the quality of care provided) in patient infections and accidents for 26 of 26…