Aleyda's Home Care Inc

The home health agency is unable to demonstrate a completed termination summary including the reason for admission to home health care, type of services being provided, frequency of services, lab data (as applicable), care and out comes meeting goals and medication list for 3 out of 4 Sampled…

Based record review and interview, the Home Health Agency failed to develop an emergency preparedness training and testing program that is based on its emergency preparedness, that included strategies and procedures on the identified risks.

The Home Health Agency failed to conduct training on its emergency preparedness policies and procedures to all new and existing staff and individuals providing services under arrangement consistent with their expected roles.

The Home Health Agency failed to conduct exercises to test its federal emergency preparedness plan and participated in a full-scale exercise that is community-based and/or an individual facility-based exercise.

The Home Health Agency failed to provide an advance notice of discharge in advance of reducing or terminating on-going care to 2 out of 9 Sampled Patients (SP).

The Home Health Agency failed to develop policies and procedures on the influenza and pneumococcal vaccines in consultation with a physician.

The Home Health Agency failed to ensure that a registered nurse, or other appropriate skilled professional supervised the Home Health Aides (HHA) on one of the required elements: (vi) Honoring patient rights in 5 out of 9 Sampled Patients (SP).

The provider failed to ensure that 1 out of 3 (SP#1) sample patients (SP) received home health services that are written in an individualized plan of care.

The provider failed to ensure that the plan of care for 1 out of 3 (#2) sample patients (SP), included advanced directives information and a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk…

The provider failed to ensure that 1 out of 3 (SP#2) sample patients (SP) received an onsite supervisory visit no less frequently than every 14 days.

The provider failed to ensure that supervisory visits were conducted no less frequently than every 60 days for 1 out of 3 (#1) sample patients (SP).

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

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 must address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

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

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provider failed to ensure that all new and existing staff participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles.

The provider failed to demonstrate tabletop exercise(s) that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The provider failed to complete a competency evaluation by observing an aide's performance of the task communication skills with a patient for 5 out of 5 Home Health Aide personnel record review.

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: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 2 out of 7 Sample Patients (SP).

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 2 out of 5 employee record review.

The provider failed to document in the home health aide supervision the following elements: maintaining an open communication process with the patient, representative (if any), caregivers, and family; complying with infection prevention and control policies and procedures in 2 out of 7 Sampled…