Prima Home Health Inc

The agency failed to ensure an up to date all hazards risk assessment had been completed for the agency.

The agency failed to develop and maintain an emergency preparedness plan (EPP) that included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials'. Efforts on how to maintain an integrated response during a disaster or…

The agency's emergency preparedness policies and procedures failed to contain a current communication plan that included contact information for federal, state, tribal, regional and local emergency preparedness (EPP) staff.

The agency failed to develop and maintain an emergency preparedness communication plan that included a primary and alternate means for communicating with staff, Federal, state, regional and local emergency management agencies.

The agency failed to provide initial training in emergency preparedness policies and procedures that would be consistent with their role(s) in an emergency.

Agency staff failed to follow the plan of care for six (6) of six (6) patients whose records were reviewed in the survey sample (clinical records #2-7).

The agency failed to complete a discharge summary for two (2) of two (2) discharged patients whose records were reviewed in the survey sample (clinical records #6 and 7).

The agency failed to develop and maintain an emergency preparedness plan (EPP) that included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency…

The agency's emergency's preparedness plan (EPP) failed to include the procedures to follow up with on-duty staff and patients.

The agency's emergency preparedness policies (EPP) and procedures failed to include a policy and procedure for the use of volunteers in an emergency or other professionals for emergency staffing needs.

The agency's emergency preparedness policies and procedures failed to contain a current communication plan that included contact information for federal, state, tribal, regional and local emergency preparedness (EP) staff.

The agency failed to provide initial and annual training in emergency preparedness policies and procedures that are consistent with their roles in an emergency to all new and existing staff, individuals providing services under arrangement, and volunteers.

The agency failed to ensure all patients received skilled nursing visits as ordered in the plan of care for five (5) of seven (7) patients in the survey sample (patients #1-4, and 6).

Agency failed to ensure patients were provided the agency's transfer and discharge policies for two (2) of two (2) patients in the survey sample admitted to the agency on or after 01/13/18 (patients #1 and 4).

The agency's admission packet failed to contain the contact information for the HHA (home health agency) Administrator, specifically the Administrator's name and address in order to receive complaints for two (2) of two (2) patients in the survey sample admitted to the agency on or after 01/13/18…

The agency failed to provide the names, addresses, and telephone numbers for the Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource Center; and the Quality Improvement Organization where the patient resides for two (2) of two (2) patients…

The agency failed to ensure all patients received an updated comprehensive assessment within the last 5 days of every 60 day period for six (6) of seven (7) patients in the survey sample (patients #1-6).

The agency failed to ensure the patient's individualized plan of care included a description of the patient's risk for emergency department visits and hospital re-admissions.

The agency failed to document the patient's progress toward outcomes and goals specified in the plans of care for six (6) of six (6) medical records reviewed in the survey sample admitted/recertified on or after 01/13/2018. (Medical records: #1-6).