Sierra Home Healthcare Services, Inc

The home health agency (HHA) failed to ensure the emergency preparedness plan that included training for all staffs was evaluated and updated at least annually.

The skilled nurse (SN) failed assess the patient's pain in accordance to the plan of care (POC) for one of 10 sampled patients (Patient 2).

The home health agency failed to screen the visitors for signs and symptoms of COVID 19 infection (an acute serious respiratory illness), and failed to develop the policy and procedures for COVID 19 prevention of the infection.

The HHA failed to ensure one of 10 sample patients (Patient 6) was aware of the HHA Complaint Hot line number and its purpose.

The HHA failed to ensure the physician signed the Missed Visit Forms for one of 10 patients ( Patient 8).

The Home Health Agency (HHA) failed to coordinate care and services to meet one of 10 sample patients (Patient 6) social needs.

The home health agency (HHA) skilled nurse (SN) failed to calibrate a glucometer periodically as indicated in plan of care (POC) for one of 10 sample patients (6).

The agency staff failed to ensure the plan of care (POC) developed for one of ten sampled patients (Patients 8) covered all pertinent diagnoses.

The home health agency (HHA) failed to ensure the Administrator maintained responsibility for the day-to-day operations of the agency.