All About Caring Home Health Care, LLC

The agency failed to ensure a community-based risk assessment was reviewed every two years for all patients and employees.

The agency failed to ensure that the Emergency Preparedness Plan had policies and procedures related to patient data management and information sharing for all patients and employees.

The agency failed to ensure its Emergency Preparedness communication plan included current employee contact information for all patients and employees.

The agency failed to ensure development, implementation, and maintenance of policies and procedures for an integrated emergency preparedness response with Federal, State, Tribal, Regional and Local emergency management officials for all patients and employees.

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted for calendar years 2024 and 2025 for all patients and employees.

The agency failed to ensure patient centered QAPI Program for all patients and employees.

The agency failed to ensure governing body oversite of patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure advance beneficiary notice prior to discharge to two (Patients #6 and #7) of seven patients.

The agency failed to ensure a POC included a SN visit frequency duration for one (Patient #4) of seven patients.

The agency failed to ensure: 1. PT evaluation was conducted as ordered for one (Patient #2) of seven patients.

The agency failed to ensure skilled visit notes were completed for three (Patients #1, 3 and #4) of seven patients.

The agency failed to ensure certified home health aide supervisory visits were completed every 14 days for one (Patient #1) of seven patients.

The agency failed to ensure: 1. CHHA visit notes were completed for two (Patient #1) of seven patients.

The agency failed to ensure a completed transfer or discharge summary was provided to the receiving service providers for three (Patients #5, 6 and #7) of seven patients.