Valley Home Health Care, LLC

The agency failed to update its existing emergency preparedness plan and failed to update patients at risk (E0004).

The agency failed to update its emergency preparedness plan and failed to update patients at risk.

The agency failed to attempt a collaborative process or initiated planning with local, regional, state or federal emergency planning officials.

The agency failed to update its Emergency Preparedness Policy and failed to include in the comprehensive assessment of each patient a documented individualized disaster plan for 12 of 12 patients reviewed (Patient #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, and #12).

The agency failed to establish a process for notification of state or local officials of any on duty staff or patient the agency was unable to contact in the event of an emergency or disaster.

The agency failed to establish an emergency preparedness communication plan.

The agency failed to establish contact information for federal, state, tribal, regional and local emergency preparedness staff.

The agency failed to establish an alternate means of communication.

The agency failed to update the staff annual Emergency Preparedness training since 2013. This had the potential to affect all patients receiving services from the agency.

The agency failed to conduct either a table top exercise or a full scale community based exercise.

The facility failed to report missed visits to the physician for four of 12 patients reviewed (Patients #1, #8 ,#9, and #10).

The facility failed to ensure an order for physical therapy (PT) was included on the physician ordered plan of care for one of 12 patient reviewed (Patient #3).

The facility failed to conduct supervisory visits at least every two weeks for patients receiving skilled services for two of 12 patients reviewed (Patients #5 and #10).