Kemg Home Health Care Inc

The agency failed to comply with all applicable Federal, State and local EP requirements to develop, establish and maintain a comprehensive emergency preparedness program that met the requirements to maintain an emergency preparedness plan that was reviewed, and updated at least every 2 years (per…

The agency failed to provide Initial and Annual EP training to employees consistent with their expected roles and failed to maintain documentation of the training for four (Employees A, B, C and E) of four personnel records reviewed.

The agency failed to conduct exercises to test the emergency plan annually, for the years 2017, 2018 and 2019. This failure could place the agency's patients at risk of harm related to lack of organized preparation and planning for patient care and services in the event of a disaster.

The agency failed to conduct and document PIP(s) for the calendar years 2018, 2019 and 2020 that reflected the scope, complexity and past performance of the agency's services and operations.

The agency's governing body failed to ensure that an ongoing program for quality improvement and patient safety was implemented and maintained.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control and investigation of infectious diseases that was an integral part of the Agency's QAPI program.