Sumner County Home Health Agency

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness plan (EPP) that is based on and includes a documented, facility-based and community-based risk assessment; utilizing an all-hazards approach that included strategies for addressing emergency events identified by…

The Home Health Agency (HHA) failed to review, revise, and update policies and procedures at least every 2 years and failed to develop EPP policies and procedures for all hazards identified within the facility's risk assessment.

The Home Health Agency (HHA) failed to provide procedures to follow up with on-duty staff and patients to determine services that are need, in the event that there is an interruption in services during or due to an emergency.

The Home Health Agency (HHA) failed to develop and maintain a written emergency communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years.

The Home Health Agency (HHA) failed to maintain an emergency preparedness communication plan.

The Home Health Agency (HHA) failed to develop a written policy and procedure for alternate means of communication with staff within the emergency communication plan.

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness (EPP) training and testing program that is based on the emergency plan, risk assessment, policies and procedures and the communication plan that is reviewed and updated at least every 2 years.

The HHA failed to develop and provide the following: 1. initial training in emergency preparedness (EPP) policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected roles. 2. provide emergency preparedness…

The Home Health agency (HHA) failed to conduct or participate in exercises to test the Emergency Preparedness Plan (EPP).

Staff interview the home health agency skilled staff failed to ensure the patient's right to participate in, be informed about, and consent or refuse care in advance of and during treatment with respect to the disciplines that will furnish the care and the frequency of visits for 6 of 7 sample…

The agency failed to provide 7 of 7 patients (Patient 1-7) with medication administration instructions written in plain language that they could understand and did not use medical abbreviations.

The home health agency (HHA) failed to ensure the completion of supervisory visits for 1 (Patient 1) of 2 patients receiving home health aide services.