International Health Care Serv

The facility failed to develop an emergency preparedness program that meets all of the standards specified within the condition/requirement, including a comprehensive approach to meet the health, safety, and security needs of the staff and patient population during emergency or disaster situations…

The home health agency (HHA) was found not to be in compliance with the Condition of Participation at 484.65 Quality Assessment and Performance Improvement (QAPI) which had the potential to impact all current patients served by the agency and any future patients who receive care from the agency.

The home health agency failed to notify the physician of missed or extra visits for 2 of 7 patients (P4, P5) as required.

The agency failed to ensure 2 of 6 home health aides (HHA-B, HHA-D) had successfully demonstrated competency in required patient care areas.

The agency failed to ensure 5 of 7 patients (P5, P7, P1, P2, and P3) were informed or consented to services or care being provided including any ongoing changes in services.

The agency failed to ensure the plan of care (POC) included a description of the risk for emergency department visits and hospital re-admission, advanced directives, and/or education, including all necessary interventions to address the underlying risk factors for 6 of 6 patients (P4, P5, P7, P1…

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days for 1 of 4 patients (P4) reviewed, who had a home health aide and skilled nursing services.

The home health agency failed to perform direct supervisory visits of home health aides (HHAs) every 60 days for 2 of 3 non-skilled patients (P5, P7) reviewed.