River Stone Home Health

The agency failed to ensure a community-based risk assessment (All Hazards Risk Assessment) was developed and implemented for all patients and employees.

The agency failed to ensure an Emergency Preparedness Communication Plan included current employee contact information for the agency for 10 (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9 and #10) of 10 patients and five employees.

The agency failed to ensure an emergency preparedness testing and training program was reviewed and updated from 05/12/23 to 12/31/23, calendar year 2024 and 01/01/25 to 07/29/25 for all patients and employees.

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted from 05/12/23 to 12/31/23, calendar year 2024 and 01/01/25 to 07/29/25 for ten (Patients #1,2, 3, 4, 5, 6, 7, 8, 9 and #10) of 10 patients and five…

The agency failed to ensure completion of transfer/discharge summaries for two (Patients #8 and #9) of 10 patients.

The agency failed to ensure utilization of QAPI quality indicator data for 10/01/23 to 12/31/23, 01/01/24 to 06/30/24 and 11/01/24 to 12/31/24 for all patients and employees.

The agency failed to ensure performance improvement projects were identified, documented, followed and reported on by the agency in calendar years 2023, 2024 and 01/01/25 to 03/31/25 for all patients and three employees.

The agency failed to ensure governing body oversite of the conduction of a patient centered QAPI program in calendar years 2023, 2024 and 01/01/25 to 01/13/25 for all patients and employees.

Findings: A review of administrative governing body meeting records showed no governing body oversite of the agency’s program evaluation in calendar years 2023, 2024 and 01/01/25 through 07/28/25. On 07/30/25 at 2:00 p.m., Staff A stated governing body meeting minutes did not show governing body…

The agency failed to ensure notification to the physician prior to a patient's discharge from agency services for non-authorization of services by the payor source for one (Patient #6) of 10 patients.

The agency failed to ensure advance beneficiary notices were provided to patients prior to discharge from agency services for two (Patients #6 and #7) of 10 patients.

The agency failed to ensure individualized patient POCs included medical provider pain reporting parameters for eight (Patients #1, 3, 4, 5, 6, 7, 9 and #10) of 10 patients.

The agency failed to ensure physician orders were included as a part of the patient’s plan of care for two (Patients #7 and #9) of ten patients.

The agency failed to ensure care was coordinated between the agency and physician for three (Patients #2, 4 and #9) of ten patients.

The agency failed to ensure: 1. SN visits were conducted as ordered on the POC for two (Patients #2 and #6) of 10 patients.

The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.

The agency failed to ensure governing body appointment or designation of the current administrator for the agency for all patients and staff.

The agency failed to ensure completed transfer/discharge summaries were provided for three (Patients #2, 8 and #9) of 10 patients.