Virginia in Home Partner Vii, LLC
Inspection 2020-02-13
· Recertification · 12 deficiencies · CMS source report (PDF)The agency failed to include a description of the patient population including but not limited to the types of services the agency would be able to provide during emergency situations while maintaining continuity of operations . Findings: The agency's emergency preparedness plan was reviewed in the…
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The agency failed to include in their emergency preparedness plan a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation.
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The agency failed to ensure individual emergency preparedness plans for each patient were developed and completely filled out for ten (10) of ten (10) clinical records reviewed in the survey sample.
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The Policy and Procedure section of their emergency preparedness plan failed to include the procedures to inform State/Local officials regarding patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and psychiatric condition…
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The Policy and Procedure section of their emergency preparedness plan failed to include a description of their of medical documentation system that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.
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The Policy and Procedure section of their emergency preparedness plan failed to include a description of the use of volunteers in an emergency and other staffing strategies to address surge needs during an emergency.
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The Communication Plan section of their emergency preparedness plan failed to include contact information for Federal, State, regional, or local emergency preparedness staff.
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The Communication Plan section of their emergency preparedness plan failed to include a method for sharing information and medical documentation to include the patient's general condition and location with other health providers to maintain the continuity of care.
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The Communication Plan section of their emergency preparedness plan failed to include a means of providing information about the agency's needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.
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The agency failed to provide the patient and or caregiver with a copy of the patient's current medication regime and their current visit schedule for four (4) of (4) home visits conducted on 02/11/2020. Patients #'s 3, 5, 6, and 8. Findings: Four home visits were made on 02/11/2020. During the home…
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The agency failed to ensure their complaint process included the contact information for the HHA administrator, including the administrator's name, business address, and business phone number in order to receive complaints.
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The agency failed to ensure each individualized plan of care included a description of the patient's risk for emergency department visits and hospital re-admission(s), and all necessary interventions to address the underlying risk factors for six (6) of ten (10) medical records reviewed in the…
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