Preferred Certified, LLC

The agency failed to ensure that OASIS (Outcome and Assessment Information Set) information was submitted as required.

The agency's policies and procedures and interviews with the Administrator/DPS the Governing Authority (GA) failed to ensure the development, implementation and maintenance of an agency-wide data driven QAPI (Quality Assessment Performance Improvement) program.

The Governing Authority failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity.

The agency failed to ensure that the agency develops and maintains an emergency preparedness training and testing program that is based on the emergency plan, their risk assessment, policies and procedures, and the communication plan at least every 2 years.

The agency failed ensure all staff receive an initial training in emergency preparedness policies and procedures and demonstrate knowledge of emergency procedures.

The Governing Authority failed to ensure all the required Quality Improvement activities and functions were being conducted.

Based staff interviews, the Governing Authority failed to develop, implement and conduct an ongoing Performance Improvement Projects.

The Governing Authority failed to ensure that the quality improvement program is established.

The Governing Authority failed to develop and policies for surveillance, identification, prevention, control, and investigation of all infectious and communicable diseases.

The Governing Authority failed to develop a comprehensive written policy for COVID-19 vaccination to ensure that all staff are fully vaccinated.

The Governing Authority failed to ensure visiting skilled nursing services were available for the patient's home.

The agency failed to ensure that all contact information for the agency is accurate in order to receive patient complaints.

The Governing Authority failed to ensure HHA services for skilled nursing services were provided.