A Path of Care Home Health Vi, LLC

The agency failed to ensure the Emergency contacts and resources phone list had updated contact information for all 193 patients and all employees.

The agency failed to ensure the initial start of care assessment was completed within 48 hours of referral for one (Pt #2) of eight patients.

The agency failed to ensure a current POC was provided to an assisted living facility for one (Pt #6) of three patients residing in assisted living facilities.

The agency failed to ensure the CHHA supervisory visits were completed for one (Pt #3) of seven patients receiving CHHA services.

The agency failed to ensure development of a community-based risk assessment (All Hazards Risk Assessment) for all patients and employees.

The agency failed to ensure development, implementation and maintenance of processes for a coordinated emergency preparedness response with Federal, State, Tribal, Regional and Local emergency management officials for all patients and employees.

The agency failed to ensure an Emergency Preparedness Communication Plan included updated required information related to the staff contact information for the agency for all patients and staff.

The agency failed to ensure completion of a transfer summary for one (Patient #6) of eight patients.

The agency failed to ensure development of a Plan of Care after a comprehensive (SOC) OASIS assessment for one (Patient #6) of eight patients.

The agency failed to ensure governing body oversite of: 1. Ongoing patient centered QAPI Program activities for calendar years 2021 and 2022; 2. An operating budget, capital expenditure plan and allocation of resources activities for calendar years 2021 and 2022; and 3. Agency program evaluations…

The agency failed to ensure a medication regimen included insulin sliding scale doses on the medication profile for one (Patient #2) of eight patients.

The agency failed to ensure an individualized patient POC included a skilled treatment intervention due date for one (Patient #1) of eight patients.

The agency failed to ensure multi-disciplined professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.