Macbon Home Health Inc

The agency failed to develop and maintain an emergency preparedness plan that was reviewed and updated at least every two years for calendar year 2021. The emergency preparedness plan had not been updated since 01/15/2019. This failure placed patients at risk of harm in the event of an emergency or…

The agency failed to develop and maintain an emergency preparedness plan that was based on and included a documented facility-based and community-based risk assessment utilizing an all-hazards approach that was reviewed and updated at least every two years for three of three years reviewed (2019…

The agency failed to develop and implement emergency preparedness policies and procedures that were reviewed and updated at least every two years for three of three years reviewed (2019, 2020 and 2021).

THIS IS A CONTINUING DEFICIENCY FROM SURVEY DATED 07/23/2019 CITED AT E0039. Based on record review and interview, the agency failed to review the emergency preparedness plan after each actual emergency response to evaluate its effectiveness and to update the plan as needed for two of two years…

The agency failed to utilize and monitor patient emergent care services, hospital admissions and re-admissions in the design of a QAPI program in order to monitor the effectiveness and safety of services and quality of care for three of three calendar years (2019, 2020 and 2021).

The agency failed to conduct and document PIP’s for three of three calendar year 2019, 2020 and 2021 and failed to have at least one PIP in development or on-going for calendar year 2022 that reflected the scope, complexity and past performance of the agency's services and operations and the…

THIS IS A CONTINUING DEFICIENCY FROM SURVEY DATED 07/23/2019 CITED AT G0422. Based on observation, record review and interviews, the agency failed to provide written notice of the agency's transfer and discharge policy within 4 business days of the initial evaluation visit in three of three…

THIS IS A CONTINUING DEFICIENCY FROM SURVEY DATED 07/23/2019 CITED AT G0446. Based on record review and interviews, the agency failed to advise three of three (Patient 1, 2 and 3) patients with the names, addresses and telephone numbers of the following Federally-funded and state-funded entities…

THIS IS A CONTINUING DEFICIENCY FROM SURVEY DATED 07/23/2019 CITED AT G0614 Based on record review and interviews, the agency failed to provide a written visit schedule including the frequency of visits by personnel acting on behalf of the agency to two of three (Patient 1 and 2) patients the…

The Adm and Alt Adm failed to organize and direct the day-to-day operation of the agency in that: 1. The Adm and Alt Adm failed to develop and maintain an emergency preparedness plan that was reviewed and updated at least every two years for calendar year 2021.