Serenity Home Healthcare

The Agency failed to have a communication plan that meets the requirements.

The Agency failed to ensure that the Agency conducted / participated in full scale community-based exercise or facility-based exercise to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

In 5 of 8 OASIS reports submitted for the last 12 months, the Agency failed to submit all timely reports.

In 3 of 7 (Pts. # 3, 4 and 5) clinical records reviewed, the patient care was not provided as ordered in the plan of care.

In 4 of 7 (Pts. #3, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure the clinical records were complete and accurate.

The Agency failed to ensure the Agency provide the contact information for the Administrator upon Patient Admission.

In 4 of 7 (Pts. #3, 4, 1 and 6) clinical records reviewed, the PsOC failed to included all the requirements.

The Agency failed to ensure the Agency provide the Name and contact information for the Clinical Manager.

In 4 of 7 (Pts. # 4, 5, 1 and 7) clinical records reviewed, the Agency failed to ensure the discharge summary was sent to the physician.

The Agency failed to ensure the plan was established based on an updated risk assessment utilizing an all-hazards approach.

The Agency failed to test the Emergency Preparedness Plan.

The Agency failed to authenticate physician orders.

The Agency failed to provide services as ordered by the Physician in the POC.