Lovable Home Health Services Corp

The provider failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop an emergency preparedness plan that addresses patient/client population, and continuity of operations.

The provider failed to develop an emergency preparedness plan that include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to ensure its emergency preparedness plan addressed when and how information is communicated to emergency officials and to include the clinical care needed for patients.

The provider failed to ensure their emergency preparedness plan included timelines for transferring patients or under what conditions patients would need to move, the procedures to follow up with on-duty staff and patients, and procedures on how the home health agency will inform State and local…

The provider failed to develop emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures that must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and…

The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include method for sharing information and medical documentation for patients under the [facility's] care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to develop and maintain an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provider failed to conduct initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role; provide emergency preparedness training at least annually; maintain…

The provider failed to participate in a full-scale exercise that is community-based and/or an individual facility-based exercise; failed to conduct additional exercise and failed to analyze the [facility's] response to and maintain documentation of all drills, tabletop exercises, and emergency…

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to ensure that a review of all medications the patient is taking in 2 out of 3 Sampled Patients (SP) with home visits.

The provider failed to include in the individualized plan of care the following: A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and Information related to any advanced directives…

The provider failed to have the home health agency staff administer treatments only as ordered by a physician for 1 out of 3 Sampled Patients (SP) with home visits done.

The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to assure communication with the patient's physician involved in the plan of care for 1 out of 7 Sampled Patients (SP).

The provider failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 7 Sampled Patients (SP).

The home health agency staff failed to provide service in accordance with current clinical practice guidelines and accepted professional standards of practice for 1 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…