A&E Home Care LLC

The agency failed to provide evidence that the emergency preparedness plan was tested annually.

The agency failed to follow its policy pertaining to infection control for one (1) of one (1) clinical home visits conducted: CR#1. Findings include: A review of agency policies was conducted on 3/19/2026 at 12 pm and 3/20/2026 at 10:30 am.

The agency failed to complete a comprehensive assessment that accurately reflect the patient's status including current health, psychosocial, functional, and cognitive status for one (1) of eight (8) CRs reviewed (CR# 5).

The agency failed to complete a comprehensive assessment including a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate…

The facility failed to comply with all applicable Federal, State and local emergency preparedness requirements regarding establishing and maintaining a comprehensive emergency preparedness program that meets the requirements of this section.

This condition was not met, but did not result in immediate jeopardy, as evidenced by the following standards: 484.80(a)(1)(i-iv) Qualified Hh Aide Successfully Completes 484.80(b)(2) Minimum Hours of Training 484.80(b)(4) HHA Maintains Documentation of Training 484.80(d) 12 Hours Inservice Every…

The administrator failed to organize and direct the agency's ongoing functions, employ qualified personnel and ensure adequate staff education and evaluations and did not ensure that a qualified person authorized in writing to act in the absence of the administrator.

The agency failed to submit assure that home health aides received twelve hours of in-service training during each 12-month period for three, (3) of five (5) Personnel Files, (PF), reviewed.

Its quality assessment and performance improvement program and failed to appoint a qualified alternate administrator.

The agency failed to meet the Patient's plan of treatment requiring frequency of visits, for one of (1), of four, (4) Clinical Records, (CR), reviewed.

The agency failed to demonstrate that all home health aides, (HHA), successfully completed: (i) A training and competency evaluation program as specified in paragraphs (b) and (c) respectively of this section; or (ii) A competency evaluation program that meets the requirements of paragraph (c) of…

The agency failed to demonstrate that all home health aides, (HHA), had completed a minimum of 16 hours of classroom training must precede a minimum of l6 hours of supervised practical training as part of the 75 hours for three, (3) of five (5) Personnel Files, (PF), reviewed.

The agency failed to demonstrate that all home health aides, (HHA) had documentation of training that demonstrates the requirements have been met for three, (3) of five (5) Personnel Files, (PF), reviewed.

The agency failed to demonstrate that all home health aides, (HHA), successfully completed: (i) A training and competency evaluation program as specified in paragraphs (b) and (c) respectively of this section; or (ii) A competency evaluation program that meets the requirements of paragraph (c) of…

The administrator failed to organize and direct the agency's ongoing functions, employ qualified personnel, ensure adequate staff education, evaluations and did not ensure that a qualified person was authorized in writing to act in the absence of the administrator.

The administrator failed to organize and direct the agency's ongoing functions by not ensuring the agency had appointed an alternate director of nursing.

The administrator failed to organize and direct the agency's ongoing functions, employ qualified personnel and ensure adequate staff education and evaluations and did not ensure that a qualified person authorized in writing to act in the absence of the administrator.

The administrator did not ensure that when the administrator is not available, a qualified, pre-designated person, who is authorized in writing by the administrator and the governing body, assumes the same responsibilities and obligations as the administrator.