Accentcare Home Health of California, Inc

The agency failed to ensure the emergency preparedness plan included the process for collaboration with the local, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the…

The agency failed to ensure the emergency preparedness P&P included specific instructions for the patients based on the emergency plan, risk assessment, and the communication plan, creating the risk of not providing necessary care and services during the emergency events.

The agency failed to ensure the individualized emergency preparedness plans were included as part of the comprehensive patient assessment for six of 19 sampled patients (Patients 1, 6, 7, 8, 15, and 18), creating a risk of not addressing the care needs for the patients during the emergency.

The agency failed to ensure the emergency preparedness P&P included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure the emergency preparedness plan included the requirement for the emergency preparedness communication plan to be reviewed and updated at least annually, creating the risk of not providing the necessary care and services to the patients during the emergency events.

The agency failed to ensure the emergency preparedness communication plan included the primary and alternate means for communicating with the agency's staff and Federal, State, tribal, regional, and local emergency management agencies.

The agency failed to ensure the emergency preparedness communication plan included a means of providing information about the agency's occupancy, needs, and its ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to ensure the initial training in the emergency preparedness program was provided to all staff, including the contracted individuals providing services under arrangement.

The agency failed to ensure the OASIS data was transmitted within 30 days of completing the OASIS data sets, creating the risk of not reporting and coordinating patient care assessments timely for the patients receiving care and services at the HHA.

The agency failed to ensure the written POCs were specific to the care needs for nine of 19 sampled patients (Patients 3, 5, 6, 8, 11, 12, 13, 14, and 16), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the grievances were thoroughly investigated for four nonsampled patients (Patients A, B, C, and D), creating the risk of violating the patient's rights and not providing quality of care and services to these patients.

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs, but no later than five calendar days after the SOC date for three of 19 sampled patients (Patients 3, 11, and 14), creating the risk of not identifying…

The agency failed to ensure the review of the patient's medications included all of the patient's medications and identified the duplicate drug therapy and its side effects for nine of 19 sampled patients (Patients 1, 2, 3, 4, 9, 13, 15, 16, and 18), creating the risk of not identifying the…

The agency failed to ensure the comprehensive assessments were updated within the last five days of every 60 days for three of 19 sampled patients (Patients 2, 12, and 14), creating the increased risk of not addressing the care needs for these patients.

The agency failed to ensure the updated comprehensive assessment was completed within 48 hours of the patient's return to home from the hospital for one of 19 sampled patients (Patient 3), creating the risk of not providing the necessary care and services timely to meet the care needs for this…

The agency failed to ensure the POCs included specific wound locations, wound care frequency, specific instruction for the medication administration, cast care, oxygen therapy, tracheostomy care, and responsible person to perform the wound care, BS monitor, and insulin administration for 11 of 19…

The agency failed to ensure treatment was administered only as ordered by the physician for one of 19 sampled patients (Patient 4), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency failed to ensure the POCs were revised to reflect the patient's condition and care needs identified during the updated comprehensive assessments for two of 19 sampled patients (Patients 2 and 18), creating a potential risk of not providing the necessary care and services to these…

The agency failed to ensure the coordination of care for four of 19 sampled patients (Patients 2, 3, 14, and 18), creating the increased risk of not addressing the care needs for these patients.

The agency failed to ensure the skilled professionals provided care and services in accordance with the POC for four of 19 sampled patients (Patients 2, 10, 14, and 18), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the teaching provided by the SN were specific and ordered by the physician for two of 20 sampled patients (Patients 15 and 18), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled professionals prepared accurate clinical notes for four of 19 sampled patients (Patients 2, 3, 10, and 14), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the agency's RN provided supervisions to the SN to ensure quality of care and services provided for two of 19 sampled patients (Patients 3 and 14), creating the risk of a substandard healthcare outcome to these patients.

The agency failed to ensure the agency's OT provided supervision to the COTA in a timely manner to ensure quality of care and services provided for one of 19 sampled patients (Patient 5), creating the risk of a substandard healthcare outcome to this patient.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&P related to wound measurement was not implemented for two of 19 sampled patients (Patients 3 and 14), creating the increased risk of substandard healthcare outcomes to these patients.