Victory Home Care Agency

The facility has failed to develop and maintain a comprehensive emergency preparedness plan.

The facility has failed to execute and maintain an emergency preparedness plan based on an all-hazards facility-based and community-based risk assessment.

The facility has failed to develop and implement a system to follow up with staff or patients to determine services that are needed in the event of an emergency.

The facility failed to develop a policy regarding the use of volunteers during an emergency.

The facility failed to include names and contact information for staff, patient physicians and entities providing services under arrangement in the facility communications plan.

The facility failed to provide annual training in emergency preparedness policies and procedures.

This STANDARD is NOT MET as evidenced by: Based on interview, review of facility policies and procedures and review of Infection Control documentation presented on December 4, 2024, the agency failed adhere to facility policies and procedures to complete TB community risk assessment in the…

This STANDARD is NOT MET as evidenced by: Based on interview, review of facility policies and procedures and review of medical records, the Department has determined the home health agency failed to ensure personnel records for each personnel member includes documentation of in-service education as…

The hospice must be in compliance with the Department's rules regarding personal health information as set out at 45 CFR parts 160 and 164. This STANDARD is NOT MET as evidenced by: Based on interview, review of facility policies and procedures and review of medical records, the Department has…