West Winds Health Services, Inc

The provider failed to ensure a structured home health training program, which included 16 hours of classroom training, was completed for two of two (E and F) newly employed home health aides prior to in-home training.

The provider failed to notify the physician within five business days following discharge for two of two patients (4 and 5) who discharged from the home health agency (HHA).

The provider failed to develop and implement a comprehensive emergency preparedness program based on an all-hazards community-based risk approach that had the potential to affect all patients.

The provider failed to ensure infection prevention and control practices had been maintained for: *One of one observed suprapubic catheter change by owner/registered nurse (RN) A for patient (1). *Two of two observed dressing changes by owner/RN A for two of two patients (1 and 2).

The provider failed to provide home health aides (HHA) with written patient care instructions for two of three sampled patients (2 and 3) who received HHA services.