Kindest Care Healthcare LLC

The agency failed to provide documentation that a facility-based and community-based risk assessment was completed.

The agency failed to demonstrate that initial training in emergency preparedness (EP) policies and procedures was provided to newly hired employees for one (1) of nine (9) PF: PF#1, and that EP training was conducted at least every two (2) years for four (4) of nine (9) PF reviewed: PF#1, PF#2…

The agency failed to provide evidence that the emergency preparedness plan was tested annually.

The agency failed to provide care according to the Home Health Certification and Plan of Treatment (POC) for five (7) of seven (7) CR's: CR#2, CR#3, CR#5, CR#6, and CR#7, and failed to ensure that the most current physician orders were clearly evident in the clinical record for two (2) of seven (7)…

The agency failed to demonstrate that at least one performance improvement project was either in development, on-going or completed each calendar year.

The agency failed to provide Infection control education to staff at orientation and/or annually for four (4) of nine (9) PF: PF#1, PF#2, PF#4, and PF#7. Findings include: A review of the agency’s policy titled Infection Control Program (Reference #4001) conducted on December 12, 2023 at…

The agency failed to demonstrate that patients were advised of the names, addresses, and telephone numbers of the following federally-funded and state-funded entities that serve the area where the patient resides: (i) Agency on Aging (ii) Center for Independent Living (iii) Protection and Advocacy…

The agency failed to ensure that the initial assessment visit was held within 48 hours of the referral for one (1) of seven (7) CR's reviewed: CR#7. Findings include: A review of the home health agency's policy titled Assessment (Reference #2008) conducted on December 11, 2023 at 3:00 PM, states in…

The agency failed to ensure that the individualized plan of care (POC) included the frequency and duration of PRN (as needed) visits to be made for three (3) of seven (7) CR: CR#4, CR#6, and CR#7. Findings include: A review of the Medicare Benefit Policy Manual conducted on December 8, 2023 at…

The agency failed to demonstrate the presence of the following: screening for mycobacterium tuberculosis (TB) for one (1) of nine (9) PF: PF#1, completion of a TB symptom screen and risk assessment for two (2) of nine (9) PF: PF#8 and PF#9, and Hepatitis B Vaccination acceptance or declination for…

The facility failed to develop and maintain a comprehensive Emergency Preparedness plan identifying all the required elements under the standard, affecting the entire facility.

The agency failed to develop an emergency preparedness communication plan.

The agency failed to develop an emergency preparedness communication plan.