Affiliated Home Health Care

Agency staff failed to establish and maintain an emergency preparedness program in 1 of 1 emergency preparedness program reviewed.

Agency staff failed to document and maintain an infection control program, including processes and procedures for tracking and surveillance of infections in 1 of 1 infection control program reviewed.

The agency failed to ensure at least one additional therapeutic service was provided or arranged for in 1 of 1 Home Health Agency Survey Report reviewed.

Agency staff failed to individualize patient goals based on each patient’s need in 5 of 7 patient record reviews completed (Patients #1, #2, #4, #5, #6).

The agency staff failed to maintain and document an infection control program in 1 of 1 Infection Control Program reviewed; and failed to ensure that the agency's Infection Control Program was an integral part of the agency's Quality Assurance Performance Improvement (QAPI) program in 1 of 1 QAPI…

The agency failed to provide at least one other therapeutic service in addition to skilled nursing in 1 of 1 CMS (Centers for Medicare & Medicaid Services) Home Health Agency Survey Report reviewed.

The agency staff failed to ensure the QAPI (Quality Assessment Performance Improvement) program conducted performance improvement projects in 1 of 1 QAPI programs reviewed.