Ace Home Health Services Corp

The home health agency failed to demonstrate it had obtained the patient's or legal representative's signature confirming that he or she has received a copy of the notice of rights and responsibilities for 1 out of 10 Sampled Patients (SP).

The home health agency is unable to demonstrate a completed discharge summary for 2 out of 10 Sampled Patients (SP).

The Home Health Agency failed to develop strategies utilizing an all-hazards approach for addressing the emergency events that were identified by the risk assessment.

The Home Health Agency failed to develop and implement an emergency preparedness plan that contained policies and procedures based on the emergency plan.

The Home Health Agency failed to conduct : Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing on-site services under arrangement consistent with their expected roles and demonstrate staff knowledge of emergency procedures.

The Home Health Agency failed to show that 1 out of 4 Home Health Aides received at least 12 hours of in-service training during each 12-month period.

The Home Health Agency failed to provide to 1 out of 8 Sampled Patients (SP) and the patients' legal representatives a completed service agreement.

The Home Health Agency failed to advise 1 out of 8 Sampled Patients (SP): The extent to which payment for Home Health Aide (HHA) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA; The charges for services that may not be covered…

The Home Health Agency failed to ensure a review of all medications the patient is currently using is conducted for 2 out of 8 Sampled Patients (SP).

The Home Health Agency failed to develop an Influenza and pneumococcal vaccines policy/procedure with the consultation of a physician.

The Home Health Agency failed to promptly alert the physician of changes in the patient's condition in 1 out of 8 Sampled Patients (SP).

The Home Health Agency failed to ensure the clinical notes contained all required documentation for 4 out of 8 Sampled Patients (SP).

The provider failed to develop and implement emergency preparedness policies and procedures that must include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to develop and implement emergency preparedness policies and procedures that must address the procedures to inform State and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation based on the…

The provider failed to develop and implement emergency preparedness policies and procedures that must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that includes contact information for (i) Federal, State, tribal, regional, and local emergency preparedness staff and (ii) Other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include method for sharing information and medical documentation for patients under the agency's care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to develop and maintain an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to demonstrate that an initial training in emergency preparedness policies and procedures was provided to all new and existing staff; and failed to demonstrate staff knowledge of emergency procedures.

The agency failed to provide the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 5 out of 5 Sampled Patient (SP) actively receiving care from the Home Health Agency.

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: (i) Agency on Aging, (ii) Center for Independent Living, (iii) Protection and Advocacy Agency, (iv) Aging and…

The provider failed to record all patient care orders in the plan of care for 1 out of 7 Sampled Patients (SP).

The provider failed to provide the name and contact information of the Home Health Agency clinical manager for 5 out of 5 Sampled Patient (SP) actively receiving care from the Home Health Agency.

The licensed practical nurse failed to prepare and record clinical notes for 1 out of 7 Sampled Patients (SP).