Peace and Serenity Home Health Care LLC

Staff interview, the home health agency (HHA) must develop and implement policies and procedures to ensure that all staff are fully vaccinated for COVID-19. The cumulative effect of these systemic practices resulted in the agency's inability to ensure that the patients' infection control needs…

The agency failed to ensure at least 100% of staff have received at least one dose of COVID-19 vaccine or have a pending request for, or have been granted a qualifying exemption, or are identified as having a temporary delay as recommended by the Centers for Disease Control and Prevention (CDC)…

The governing body failed to ensure all policies and procedures had been reviewed and updated annually.

The agency failed to ensure all services were provided as ordered in the plan of care for three of seven patients reviewed (Patient #2, #3 and #6).

The agency failed to have a current written agreement with another agency when that entity furnishes services under arrangement to the home health agency's patients.