Avidity Home Care, Inc

The agency failed to provide home health aide services as ordered for one of two patients, Patient #2. The census at the time of the survey was 39. Findings include: Review of Patient #2's medical record revealed a plan of care for the period of 03/24/18 through 05/22/18. Per physician's order…

The agency failed to provide home health aide services to two of three patients whose medical records were reviewed.

The agency failed to ensure the home health aide provided services as included on the plan of care.

The agency failed to ensure the registered nurse made an on-site visit to the location where the patient is receiving care in order to observe and assess each aide while he or she is performing care.

The agency failed to comply with all applicable Federal, State and local emergency preparedness requirements.

The agency failed to ensure a comprehensive review of medications was completed as needed and identified discrepancies were reported to the physician (G536) and failed to update the comprehensive for discharged patients (G550).

The agency failed to ensure the administrator was responsible for and competent to perform all day-to-day operations of the agency (G948) and failed to ensure the agency employed qualified home health aides (G952).

The agency failed to develop, establish and maintain a comprehensive Emergency Preparedness (EP) program.

The agency failed to ensure the EP plan was based on and included a documented facility based and community based risk assessment utilizing an all hazards approach.

The agency failed to ensure the EP plan addressed the type of services able to be provided in an emergency.

The agency failed to ensure the EP plan included 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 or emergency situation, including documentation of the…

The agency failed to ensure the comprehensive assessment included an individuaized plan for each patient in the event of a disaster.

The agency failed to ensure the EP plan included procedures for informing State and local emergency preparedness officials about patients in need of evacuation from their residence.

The agency failed to ensure the EP plan included procedures to follow up with on-duty staff and patients.

The agency failed to ensure the EP plan included policies and procedures related to medical documentation.

The agency failed to ensure the EP plan included the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to develop and maintain an emergency preparedness training and testing program based on its emergency plan.

The agency failed to develop and maintain an emergency preparedness training program.

The agency failed to conduct exercises to the test the emergency plan.

The agency failed to ensure OASIS data was gathered, encoded and transmitted as required.

The agency failed to ensure two of three aides were competent to perform their duties prior to providing care.

The agency failed to ensure a comprehensive review of medications was completed as needed and identified discrepancies were reported to the physician.

The agency failed to update the comprehensive assessment for one of two discharged patients whose medical record was reviewed.

The agency failed to ensure orders for frequency and duration of services were specific to the patients needs.

The agency failed to provide ongoing interdisciplinary assessment of the patient to meet his/her needs.

The agency failed to provide Skilled Nursing (SN) services as ordered by the physician in the plan of care (485).

The agency failed to provide patient education related to medication.

The agency failed to ensure two of two patients received home health aide services indicated in the plan of care.

The administrator failed to ensure the day-to-day operations of the agency.

The administrator failed to ensure the agency employed qualified home health aides.