One Home Health, LLC

The home health agency failed to include complete individualized emergency plans (see tag E0017); failed to include the procedure to address the agency's responsibility in contacting local and state officials of patients in need of evacuation (see tag E0019); failed to include the procedure to…

The agency failed to ensure the administrative and supervisory functions were not delegated to another agency or organization and the organizational structure was set forth, in writing, including lines of authority and services furnished; failed to ensure a clinical manager was available during all…

The agency failed to ensure each patient had an individualized emergency plan in 12 of 14 records reviewed.

The home health agency failed to ensure they included the procedures to inform state and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical, psychiatric, and home environment…

The home health agency failed to ensure procedures were included to inform the state and local emergency official of any on-duty staff or patients that the agency were unable to contact for 1 of 1 agency.

The home health agency failed to evidence the process for the use of volunteers or other emergency staff strategies to address surge needs during an emergency for 1 of 1 agency.

The home health agency failed to develop and maintain a communication plan that complies with federal, state and local laws and that was reviewed every 2 years for 1 of 1 agency.

The home health agency failed to maintain an emergency preparedness communication plan which included names and contact information for patients' physicians and other entities providing services under arrangement to patients for 1 of 1 agency.

The home health agency failed to develop and maintain an emergency preparedness communication plan that included primary and alternate means for communication with the facility, staff, federal, state, tribal, regional, and local emergency management for 1 of 1 agency.

The home health agency failed to a method for sharing information and medical documentation for patients under the agency's care with other health care providers to maintain continuity of care, and in the event of an evacuation, a means of releasing patient information about the general condition…

The agency failed to ensure care was provided as established in the plan of care in 4 of 10 active clinical records reviewed.

The home health agency failed to implement policies and procedures for the control of communicable diseases in 1 of 1 patients records reviewed with antibiotics prescribed while on service with the home health agency (Patient # 6).

The therapist failed to direct the activities of the therapy assistant in 1 of 1 Occupational Therapy Assistant Visits conducted (Patient #10).

The agency failed to ensure the plan of care included all medications, supplies, safety precautions, equipment, and treatments in 8 of 14 clinical records reviewed.

The agency failed to alert the physician to changes in the patient’s condition in 2 of 2 clinical records reviewed in which the Patients experienced a change in condition (Patient #1, #5).

The home health agency failed to ensure they coordinated care with other health care providers that provided care to agency patients in 3 of 3 clinical records reviewed of patients who received dialysis (Patient #7, #11, #14) and 1 of 1 patient discharged to hospice care.

The agency failed to ensure their patients received a written schedule of visits in 3 of 5 home visits conducted (Patient #1, 3, 10).

The agency failed to ensure there was a Clinical Manager available during all operating hours.

The administrator failed to ensure that a qualified person was authorized to act in the administrator’s absence (Corporate Staff 1).

The agency failed to maintain a clinical record with all pertinent patient information in 1 of 1 patient with a Do Not Resuscitate order (Patient #5).