Miranda Home Health Care

The Agency failed to ensure the Plan included the alternate site in the event of an emergency.

The Agency failed to establish policies based on its risk assessment.

In 7 of 7 (Employees #1, 2, 3, 4, 5, 6, and 7) personnel files reviewed, the Agency failed to ensure Staff receive training pertaining to the Agency's Emergency Preparedness Plan.

The Agency failed to conduct the required testing of its Emergency Preparedness Plan.

In 5 of 17 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

In n 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

In 6 of 7 (Pts. #2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure Pts. were informed in writing of the disciplines to provide care/service, and the frequency of visits provided by each discipline.

In 5 of 7 (Pts. #3, 4, 1, 5 and 6) clinical records reviewed, the Agency failed to ensure a referral was obtained to initiate service, or the initial assessment visit was done within 48 hours of receipt of the referral.

In 1 of 2 (Pts. #7) discharged records reviewed, the Agency failed to ensure that a comprehensive assessment was updated at discharge.

In 2 of 7 (Pts. #2 and 4) clinical records reviewed, the Agency failed to ensure the POC contained interventions specific for pain control and management.

For 6 of 7 (Pts. #3, 4, 1, 5, 6, and 7) clinical records reviewed, the Agency failed to ensure Staff provided services in accordance with the POC, and as indicated by the Physician.

In 3 of 7 (Pts. #2, 3, and 5) clinical records reviewed, the Agency failed to assess the need for Pneumococcal Pneumonia and/or Influenza vaccines.

In 1 of 2 (Pt. #2) clinical record reviewed for services provided more than 60 days, the Agency failed to ensure a POC was reviewed by the Physician every 60 days, beginning with the SOC.

The Administrator failed to ensure information provided to the Department of Public Health, and Pts. was accurate; and retain personnel records.

The Agency failed to ensure that the Administrator employed qualified Staff to provide Home Health Aide services.

In 2 of 2 (Pts. #6 and 7) discharged records reviewed, the Agency failed to ensure a discharge summary was completed and sent to the Physician.

The Agency failed to ensure that patient medication profile was complete and contain all prescribed medications.

The Agency failed to ensure that the Aide supervision was conducted every 14 days by the RN.

The record lacked SN visit documentation for 6/27/2021-07/03/2021 (week 2).