Special Care Home Health

The Registered Nurse (RN) failed to develop an individualized aide care plan.

The agency failed to ensure the agency's emergency plan was reviewed and updated at least annually.

The agency failed to ensure an all hazards facility and community based risk assessment had been completed and included as part of the agency's emergency preparedness plan.

The agency failed to ensure the agency's emergency preparedness policies and procedures were reviewed and updated at least annually.

The agency failed to ensure all patients have an individualized emergency plan in the event of an emergency and failed to ensure the patient and/or their caregiver was provided a copy of his/her individualized emergency plan.

The agency failed to develop procedures to inform State and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and psychiatric condition and home environment.

The agency's emergency preparedness plan failed to include a policy related to medical documents.

The agency's emergency's plan failed to include a policy and procedure for the use of volunteers in an emergency or for emergency staff needs.

The agency failed to ensure the communication plan was reviewed and updated at least annually.

The agency failed to ensure the testing and training program was reviewed and updated at least annually.

The agency failed to ensure initial and annual training on emergency preparedness policies and procedures was provided to all agency employees, contract staff and volunteers.

The agency failed to conduct an additional emergency preparedness exercise to test their emergency plan at least annually.

The agency failed to ensure a written copy of the agency's transfer and discharge policies were provided to the patient at the time of admission.

The agency failed to ensure the complaint information in their Admission Packet contained the state home health telephone hot line contact information, its hours of operation, and that its purpose is to receive complaint or questions about local home health agencies (HHAs).

The agency failed to ensure their Admission Packet contained the addresses of the following Federally-funded and state-funded entities that serve the area where the patient resides: (1) Agency on Aging (2) Center for Independent Living (3) Protection and Advocacy Agency, (4) Aging and Disability…

The agency failed to ensure each patient's plan of care was individualized.

The agency failed to ensure patients and/or caregivers were provided with a copy of written instructions outlining the following: the patient's visit schedule, including frequency of visits by home health agency ( HHA) personnel and personnel acting on behalf of the HHA for seven (7) of seven (7)…

The agency failed to ensure patients and/or caregivers were provided with a copy of written instructions outlining the patient's medication schedule/instructions, including: medication name, dosage and frequency and which medications will be administered by HHA personnel and personnel acting on…

The agency failed to ensure patients and/or caregivers were provided with a copy of written instructions outlining any treatments to be administered by HHA personnel and/or personnel acting on behalf of the HHA, including therapy services. for seven (7) of seven (7) clinical records reviewed in the…

The agency failed to ensure each home health aide supervisory visit included documentation of the six (6) required elements to ensure aides furnished care in a safe and effective manner for two (2) of seven (7) clinical records reviewed in the survey sample.