Topmak Health Care Services Inc

The agency failed to conduct an exercise to test the emergency plan or to activate the plan after an actual natural or man-made emergency annually and maintain documentation, for two (2022 and 2023) of three years reviewed.

The agency failed to conduct and document PIP(s) annually, for two (2022 and 2023) of two years reviewed for PIP(s), that reflected the scope, complexity and past performance of the agency's services and operations.

The agency failed to ensure proper written notice was provided, in advance of terminating on-going care in two (Patients # 6 and 7) of two inactive patient records reviewed.

The agency failed to ensure that patients received home health services written in the individualized POC.

The agency failed to develop a POC that covered all required elements for all patients.