Unisource Home Health Services

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

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement emergency preparedness policies and procedures that must include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency, and procedures on how the home health agency…

The provider failed to develop and implement emergency preparedness policies and procedures that address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures that address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and Volunteers.

The provider failed to develop and maintain an emergency preparedness communication plan that includes contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provier did not demonstrate emergency preparedness initial training and emergency preparedness testing of knowledge on 5 out of 5 sampled personnel.

The provider failed to conduct exercises to test the emergency plan.

The provider failed to electronically transmit each OASIS (Outcome and Assessment Information Set) data within 30 days of completing the assessment of the beneficiary for 1 out of 7 Sampled Patients (SP) SP#2 Findings include: Clinical record review of SP#2 conducted on 01/15/19 showed a…

The provider failed to ensure the care follows the written plan of care (POC) established by the physician on 6 out of 7 Sampled Patients (SP).

The provider failed to complete a competency evaluation by observing an aide's performance of the tasks (communication skills; reading and recording temperature, pulse and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks; safe transfer techniques and…

The provider failed to give the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 7 out of 7 Sampled Patient (SP).

The Home Health Agency failed to ensure the Licensed Practical Nurse maintained a secure and confidential clinical record for 1 out of 7 Sampled Patients (SP) SP#1 Findings include: 1) Clinical record review conducted on 01/14/19 to 01/15/19 of SP#1 revealed the Plan of Care ordered skilled nursing…

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The provider failed to complete a comprehensive recertification assessment within the last 5 days of every 60 days in 1 out of 7 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…

The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to ensure that the current plan of care reflect current information from the patient's updated comprehensive assessment on 1 out of 7 sample patients (SP).

The provider failed to provide the name and contact information of the Home Health Agency clinical manager for 7 out of 7 Sampled Patient (SP).

The Licensed Practical Nurse failed to prepare and record clinical notes for 2 out of 7 Sampled Patients (SP).