Sister's Home Health Services, Inc
Inspection 2019-12-09
· Recertification · no deficiencies cited · CMS source report (PDF)Inspection 2019-10-25
· Recertification · 11 deficiencies · CMS source report (PDF)The Agency failed to develop and maintain an Emergency Preparedness Plan.
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The Agency failed to initiate an Emergency Preparedness Plan.
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The Agency failed to ensure the plan was established based on a facility based and community based risk assessment, using an all hazards approach.
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The Agency's communication plan was incomplete and did not meet all the requirements.
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The Agency did not conduct the Emergency Preparedness training and testing.
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The Agency failed to ensure individualized services were provided as ordered by the Physician in the Plan of Care.
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The Agency failed to ensure that the PsOC were complete and included patient-specific interventions and education; measurable outcomes.
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The Agency failed to ensure the onsite Aide Supervision by the RN or the appropriate skilled professional was conducted every 14 days.
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The Agency's Administrator, who was responsible for the day to day operations lacked timely and updated day to day operations.
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The Agency failed to ensure that clinical records included appropriate documents.
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The Agency failed to ensure a transfer / discharge summary was completed and provided to the primary care provider.
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