Wythe Circle Home Care

The agency failed to ensure a patient received proper written notice, in advance of a specific service being furnished, if the HHA believed that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care.

The agency failed to document the review and any updates to their Emergency Preparedness Plan for 2018 and/or 2019. Findings: The agency's Emergency Preparedness Plan (EPP) was reviewed in the agency with the Administrator on 03/05/2020. The EPP failed to contain the date(s) the plan was reviewed…

The agency failed to document strategies for addressing emergency events identified by their risk assessments.

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.

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.

The agency failed to ensure individual emergency preparedness plans for each patient were developed and completely filled out for thirteen (13) of thirteen (13) clinical records reviewed in the survey sample.

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…

The Policy and Procedure section of their emergency preparedness plan failed to include a description of their medical documentation system that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

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.

The Communication section of their emergency preparedness plan failed to include the names and contact information of the patient's physicians.

The Communication section of their emergency preparedness plan failed to include an alternate means for communicating the agency staff, Federal, State, regional, and local emergency management agencies.

The Communication Plan section of their emergency preparedness plan failed to include a means of providing information about its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to ensure each individualized plan of care included a description of the patient's risks for emergency department visits and all necessary interventions to address the underlying risk factors and measurable outcomes and goals identified by the home health agency (HHA) and the…