Mils Home Health Care Agency

The agency failed to maintain a comprehensive emergency preparedness program (EPP) which included all the required elements including both a facility based and community-based assessment.

The agency failed to develop a comprehensive emergency preparedness program (EPP) which included all areas identified within the Hazard Vulnerability Assessment (HVA).

The agency failed to develop a comprehensive emergency preparedness program (EPP) which addressed the patient population, including persons at risk, with identified needs for required services.

The agency failed to demonstrate they had developed and implemented a process for collaboration with members of emergency management and preparedness at the local, regional, state, and federal level to continue ongoing development and implementation of emergency preparedness within the agency and…

The facility failed to utilize the Hazard Vulnerability Assessment to develop policies for the identified areas of threat and concerns in the agency plan for emergency preparedness.

The agency failed to develop policies to inform and collaborate with local and state emergency preparedness officials of need for potential evacuation of patients with medical, physical, and mental health concerns in the event of an emergency evacuation.

The facility failed to identify the agency use of volunteers in the event of an emergency.

The agency failed to develop a training and testing program based on the identified threats to the agency as identified in Hazard Vulnerability Assessment.

The agency failed to meet the required testing for agencies in completing/participating in a full-scale community or facility exercise, or real time response, in conjunction with a second full-scale response, mock disaster drill or tabletop exercise.

The facility failed to report all Outcome and Assessment Information Sets (OASIS) data collected in accordance with federal regulations.

The agency failed to complete a comprehensive medication review during a home visit to ensure medication profiles were accurate for 3 of 3 patients (P1, P2, and P3) observed during home visits.

The agency failed to assure all medications currently used by patient on the home health plan of care (POC)/485 for 3 of 3 patients (P1, P2, and P3) observed during home visits.

The agency failed to maintain a comprehensive emergency preparedness program (EPP).

The agency failed to maintain a comprehensive emergency preparedness program (EPP).

The agency failed to maintain a ensure their emergency preparedness program (EPP) include community-based testing at least every two years.

The agency failed to complete a comprehensive medication review during a home visit to ensure medication profiles were accurate for 1 of 3 patients (P4) observed during home visits.

The facility failed to complete competency evaluations on 2 of 5 non-licensed employees (E-1, E-5) prior to the employees providing unsupervised care of clients.

The agency staff failed to report immediately to the State Agency (SA) and the agency administrator an allegation of neglect of care for 1 of 1 patients (P10) reviewed for a home visit.

The agency failed to ensure the plan of care (POC) included the advanced directive for 1 of 3 patients (P5) reviewed during home visits.

The agency failed to ensure supervisory visits of a home health aide (HHA) was completed every 14 days as required for 1 of 3 patients (P5) reviewed who received home health aide and skilled nursing services.