Pernet Family Heatlh Services

The agency failed to ensure the Emergency Preparedness (EP) plan that included a facility-based and community-based risk assessment, utilizing an all-hazards approach and strategies for addressing emergency events identified by the risk assessment, had been updated every two years as required.

The agency failed to ensure complete and appropriately authenticated, dated, and timed documentation for one Patient (#6), out a total sample of 7 patients.

The agency failed to ensure the initial assessment visit was completed either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner ordered start of care date for 5 Patients (#1, #4, #5, #6, and #7), out of a total sample of 7…

The agency failed to ensure the comprehensive assessment was updated within the last 5 days of the last 60 certification period for one Patient (#6), out of total sample of 7 patients.

The agency failed to ensure that services were provided as ordered by the physician or allowed practitioner, as indicated in the plan of care for two Patients (#4 and #6), out of a total sample of 7 patients.

The agency failed to meet the §483.475 (Emergency Preparedness) requirements for Home Health Agencies and did not establish and maintain a comprehensive Emergency Preparedness (EP) program that met all of the standards specified within the Conditions of Participation for the EP program.

The agency failed to ensure that seven Patients (#1, #2, #3, #4, #5, #6 and #7) out of a total sample of seven patients, had individualized emergency preparedness plans included in the clinical record.