Reymac Home Healthcare

The agency failed to ensure a clinical manager was available during all agency operating hours, resulting in the potential for unaddressed clinical issues (SEE 950); and failed to ensure that at least one qualifying service was provided directly by agency employees (SEE 982).

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 3 of 7 records (M.R.#s 1, 3 and 5), from a total of 7 records reviewed, resulting in the potential for a plan of care not meeting the patient's needs.

The administrator failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The Agency (HHA) failed to include contact information for the home health agency's administrator in the agency's Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns or complaints.

The Agency (HHA) failed to include contact information for the State of Michigan home health agency hotline in the agency's Patient Admission/Orientation Packet, or in the patient's record, resulting in the potential for unaddressed patient concerns or complaints.

The home health agency failed to advise the patients of the names, addresses and telephone numbers of Federally-funded and State-funded entities that serve the area where the patient resides, resulting in the potential for patient needs being unmet.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The agency failed to have a registered nurse (RN) perform a comprehensive drug review in 5 of 7 (MR # 2, 4, 5, 6 and 7) records, resulting in the potential for harmful medication side effects for all agency patients.

The agency failed to have skilled nursing provide services ordered in the plan of care (POC) in 1 of 7 records, from a total of seven records reviewed, resulting in the potential for unmet care needs for the patient.

The agency failed to ensure a clinical manager was available during all agency operating hours, resulting in the potential for unaddressed clinical issues.

The agency failed to develop and maintain an emergency preparedness program that includes an emergency plan, policies, procedures, communication plan, training, and testing.

The agency failed to develop and maintain an emergency preparedness program that includes an emergency plan with the required elements.

The agency failed to develop and establish written emergency preparedness policies and procedures that were based on an emergency preparedness plan, risk assessment, and communication plan.

The agency failed to develop and maintain an Emergency Preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years.

The agency failed to develop and maintain an Emergency Preparedness training and testing program that is based on the emergency plan, risk assessment, policies, procedures, and the communication plan.

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 (HHA failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws that included the following required subject areas (1) Names and contact information for the following: (i) Staff, (ii) Entities providing services under…

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for Federal, State, tribal, regional, local emergency preparedness staff and other sources of assistance, resulting in the lack of essential information in the event of an…

The facility failed to develop and maintain an emergency preparedness communication plan that included a primary and alternate means for communicating with staff and Federal, State, tribal, regional, and local emergency preparedness officials, resulting in the lack of essential information in the…

The Agency failed to develop and maintain an emergency preparedness training and testing program for staff that is based on the emergency plan, the risk assessment, policies and procedures, and the communication plan of this section.

The Agency (HHA) failed to provide documentation for the required annual tabletop and community based full-scale exercises nor any documentation of an actual event that would qualify as a test of the emergency plan, resulting in the potential to affect all patients and staff, in the event staff is…

The administrator failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The home health agency failed to advise the patients of the names, addresses and telephone numbers of Federally-funded and State-funded entities that serve the area where the patient resides, resulting in the potential for needs being unmet for all patients served by the agency.

The Agency (HHA) failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs…

The agency failed to ensure that skilled services were administered in accordance with the physician's orders and the plan of care (POC) in four (MR's #1, 2, 3, 4) of seven sampled patients reviewed for skilled services, resulting in the potential for decline in physical functioning, unidentified…

The agency failed to ensure that the discharge and transfer summary was complete, provided the patient's current health status at the time of discharge, assessed progress toward goals and was sent to the physician within 5 business days of the patient's discharge in 7 of 7 closed records (MR# 1, 2…