Premium Home Health Care, Inc.

The Agency (HHA) failed to develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually (See E0004); failed to include strategies for addressing emergency events identified by the risk assessment (See E0006); failed to address type of services the HHA has…

The Agency (HHA) failed to measure, track and analyze it's quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided (G642); and failed to develop Performance Improvement activities, as part of the Agency's QAPI…

The Agency (HHA) failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the HHA's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for…

The Agency (HHA) failed to ensure the Physical Therapist (PT) assisted the physician in evaluating the patient's level of function and helped to develop the plan of care for 1 of 7 records in which Physical Therapy services were ordered, from a total sample of 10 records reviewed (MR #1) resulting…

The agency (HHA) failed to ensure the Home Health Aide (HHa #1) received the required 12 hours of annual in-service training, resulting the potential for the rendering of substandard care and unmet care needs (G774); failed to ensure the Registered Nurse (RN) prepared written patient care…

The Agency failed to develop and maintain an emergency preparedness program that must be reviewed, and updated at least annually, resulting in the potential to affect the Agency's ability to provide patient care in the event of an actual emergency.

The Agency failed to ensure the emergency plan included strategies for addressing the emergency events identified by the risk assessment, resulting in the potential to affect the Agency's ability to provide patient care in the event of an actual emergency.

The facility failed to include delegations of authority and succession plans in an event of an emergency, resulting in the potential to affect the Agency's ability to provide continued patient care.

The Agency failed to include a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency situation; and failed to document the Agency's efforts of contacting these officials to…

The Agency failed to include in its emergency plan the procedures needed to follow-up with staff and patients to determine services that are needed in the event services are interrupted due to an emergency and to inform state and local authorities of any on-duty staff or patients that the Agency is…

The Agency failed to implement in the Emergency Preparedness policy the use of volunteers and other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The Agency failed to develop and implement primary and alternate means of communicating with staff, Federal, State, tribal, regional, and local emergency management agencies, resulting in the potential to affect the Agency's ability to provide continued patient care during an emergency.

The Agency failed to ensure the communication plan included a method for sharing information and medical documentation for patients under the Agency's care with other providers to maintain continuity of care, resulting in the potential to affect the Agency's ability to provide pertinent medical…

The facility failed to provide documentation of an initial employee emergency preparedness training and testing program for all new staff, existing staff, and individuals providing patient services to ensure all individuals are aware of the Agency's emergency preparedness program, resulting in the…

The Agency failed to provide documentation for the required annual tabletop and community based full-scale exercise nor any documentation of an actual event that would qualify as a test of the emergency plan since its initiation in 2009. This deficient practice could potentially affect all patients…

The Agency (HHA) failed to measure, track and analyze it's quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided.

The Agency (HHA) failed to develop Performance Improvement activities, as part of the Agency's QAPI (Quality Assessment Performance Improvement) program, in order to track and trend adverse patient events, analyze the cause and implement preventive interventions, resulting in the potential for the…

The Agency (HHA) failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the HHA's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for…

The Agency (HHA) failed to provide infection control education to staff, patients, and caregivers as indicated in the Agency policy, resulting in the potential for the development and spread of infection.

The agency (HHA) failed to ensure that 1 of 2 Home Health Aides (HHa #1) employed by the Agency, received the required 12 hours of annual in-service training, resulting in the potential for the rendering of substandard care and unmet care needs.

The Agency (HHA) failed to ensure the Registered Nurse (RN) prepared clear written patient care instructions and instructions specific to Home Health Aide (HHa) services in 2 of 2 records in which aide services were provided, from a total of 7 records reviewed, (MR's #1, 5) resulting in the…

The Agency (HHA) failed to provide skilled services ordered on the plan of care for 1 of 7 patients from a total of 7 records reviewed (MR #5), resulting in the potential for poor patient outcomes.

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 4 records…

The Agency (HHA) failed to ensure the Physical Therapist (PT) assisted the physician in evaluating the patient's level of function and helped to develop the plan of care for 1 of 7 records in which Physical Therapy services were ordered, from a total sample of 10 records reviewed (MR #1) resulting…

The Agency (HHA) failed to ensure that Physical Therapy (PT) services were administered in accordance with the Physician's orders and the plan of care in 2 records where PT services were ordered, from a total of 7 sampled records reviewed (MR's #1, 2), resulting in the potential for decline in…

The Agency (HHA) failed to ensure the clinical record was complete and included Physical Therapy (PT) notes for 3 of 7 patients who received PT services, from a total of 7 records reviewed (MR's #1, 4, 6), resulting in the Physician not having a complete clinical picture of the patient's health…

The Home Health Aide (HHa) failed to provide services as ordered on the plan of care (POC) for 1 of 2 patients receiving HHa services, from a total of 7 records reviewed (MR #1), resulting in the patient not receiving services as ordered.

The Registered Nurse (RN) failed to provide onsite supervision of the home health aide services as required for 2 of 2 records of patients with Home Health Aide services, from a total of 7 sampled records reviewed, (MR's #1, 5) resulting in the potential for the provision of unsafe care, and…

The Agency (HHA) failed to ensure the discharge and transfer summaries were complete, provided the patient's current health status at the time of discharge and transfer, progress toward goals, and forwarded to the physician in 2 of 2 closed records, (MR's #3, 5), 1 of 1 record with discharge from…