Affinity Home Health Services, Inc

The Agency failed to establish policies and procedures based on its risk assessment.

In 2 of 4 (Employees #3 and 4) personnel files reviewed, the Agency failed to ensure staff received training pertaining to the Agency's Emergency Preparedness plan.

The Agency failed to conduct the required testing of its Emergency Preparedness Plan.

The Agency failed to submit OASIS assessments within the required time frame for a 12 month period, resulting in a warning.

The Agency failed to ensure Pts. were informed in writing of the disciplines to provide care/service, and/ or the frequency of visits provided by each discipline.

The Agency failed to assess the need for Influenza and Pneumococcal Pneumonia vaccines for 6 of 7 (Pts. # 1, 2, 7, 3, 4 and 6) clinical records reviewed.

The Agency failed to ensure the Emergency Preparedness Plan was based on a facility and community risk assessment, utilizing an all hazards approach.

The Agency failed to ensure staff screened Pts. for COVID-19, prior to providing Pt. care and services.

The Agency failed to ensure forms were complete and accurate.

The Agency failed to ensure an individualized Emergency Plan is developed, documented and available in the clinical record.

The Agency failed to ensure the development of a system to preserve patient information, protects confidentiality, secures and maintains availability of the patient record during an emergency or disaster.