1ST Choice Home Health Agency, Inc

The Agency failed to include names and contact information for staff, contracted staff, patients' physicians, and volunteers in the emergency preparedness communication plan.

The Agency failed to provide training and maintain documentation of training for the Emergency Preparedness Plan since 2022. This has the potential to affect all staff and patients of the Agency.

The Agency failed to complete the analysis of the activation of the emergency plan in February of 2025. The Agency also failed to implement an additional test of the Plan by February 2026. Findings include: . 1.The Emergency Preparedness binder was reviewed on 03/17/26. The binder included…

The Agency failed to submit the OASIS assessments within 30 days after the assessment was completed.

The Agency failed to ensure the PsOC were followed.

The Agency failed to ensure that a comprehensive assessment was updated at discharge.

The Agency failed to include an individualized and complete plan of care.

Staff interview for 2 of 7 (Pts. #5 and 7) the Agency failed to coordinate care to meet the patients' needs.

The Agency failed to provide the name of the current Director of Nursing to Pts. and / or their representative on Admission.

The Agency failed to ensure the Administrator was responsible for all day to day operations including ensuring the Agency's address is documented correctly on all Agency documents.

Staff interview for 1 of 7 (Pt. #5) clinical records reviewed the Agency failed to incorporate accurate clinical notes into the clinical record.

For 1 of 2 (Pt. #6) discharged records reviewed the Agency failed to complete and send a discharge summary to the patient's primary care provider within 5 days of discharge.

The Agency failed to ensure staff follow infection control practices for COVID-19 positive Pts. and failed to develop policies and procedures to prevent the spread of COVID-19, and a method for processing COVID-19 staff exemption requests.

The Administrator failed to ensure an Agency Supervisor or an Alternate Agency Supervisor was available during and/or after the Agency's business hours; ensure qualified nursing staff is available during the Agency's operating hours and after hours for the availability of clinical supervision, and…

The Agency failed to develop and maintain an emergency communication plan that included the required names and contact information.

The Agency failed to ensure Pts. were informed of the Agency’s policy on transfer and discharge.

The Agency failed to coordinate care with staff, the Pt. and the Physician regarding a known Pt. case of COVID-19. This was found in 1of 5 (Pt. 1) clinical records reviewed, wherein multiple disciplines provide care and/or services, and this has the potential to affect all staff providing direct…

The Agency failed to ensure staff follow infection control practices for COVID-19 positive Pt. and failed to develop policies and procedures to prevent the spread of COVID-19 and failed to develop a method for processing COVID-19 staff exemption requests.

The Agency failed to inform the Pt./patient's representative in writing of the disciplines to furnish care, and the frequency of visits.

The Agency failed to ensure a comprehensive initial assessment was conducted by a RN within 48 hours of a Physician’s referral for home health services.

The Agency failed to ensure the POC included pertinent instructions related to wound care.

The Agency failed to provide all services as order by the Physician in the POC.

The Agency failed to ensure Pts. were informed of the Agency Supervisor’s name and contact information.

The Administrator failed to ensure an Agency Supervisor or an Alternate Agency Supervisor was available during the Agency's operational business hours and/or available after business hours.

The Administrator failed to ensure qualified nursing staff was available during the Agency's operating hours and after hours, to ensure the provision of SN services and supervision.

The Agency failed to complete and/or ensure the Physician was sent a copy of the Transfer or Discharge Summary.

The Agency failed to develop a communication plan that addresses coordination of Pt. care within the Agency, across health care providers, and with state and local public health departments to protect Pt. health and safety in the event of a disaster and failed to provide staff training relative to…

The Agency failed to develop a communication plan that addresses coordination of Pt. care within the Agency, across health care providers, and with state and local public health departments to protect Pt. health and safety in the event of a disaster.

The Agency failed to conduct Emergency Preparedness staff training.

The Agency failed to ensure that the Registered Nurse prepare and complete written assignment and duties for the Aide.