Breeze Health Care Inc

The Home Health Agency (HHA) failed to develop an emergency preparedness plan (Refer 0004); the HHA failed to develop an emergency preparedness plan that contains strategies for addressing emergency events identified by the risk assessment and that included a discussion of emergency preparedness…

The Home Health Agency failed to develop and maintain an emergency preparedness plan.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that contains strategies for addressing emergency events identified by the risk assessment.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that addresses patient/client population, including, the type of services the facility has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession…

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes 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…

The Home Health Agency failed to develop and implement emergency preparedness policies and procedures, based on the emergency plan.

The Home Health Agency failed to show that an individualized emergency plan was developed for 1 out of 7 sampled patients (SP).

The Home Health Agency failed to develop and maintain an emergency preparedness plan that addressed procedures to inform State and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes timelines for transferring patients or under what conditions patients would need to move, the procedures to follow up with on-duty staff and patients, and procedures on how the home health agency will…

The Home Health Agency failed to develop and implement emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The Home Health Agency failed to develop a federal emergency preparedness plan included policies and procedures for the use of volunteers and other staffing strategies in its emergency plan.

The Home Health Agency failed to develop and maintain a federal emergency preparedness plan that included a communication plan that contains how the facility coordinates patient care within the facility, across healthcare providers, and with state and local public health departments.

The Home Health Agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; other…

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes a communication plan to provide contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that contains a method for sharing information and medical documentation for patients under the agency's care as necessary with other health providers to maintain the continuity of care.

The Home Health Agency failed to develop an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The Home Health Agency failed to develop and maintain an emergency preparedness training and testing program that is based on its emergency preparedness plan that included strategies and procedures on identified risks and a completed communication plan.

The Home Health Agency failed to conduct training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers consistent with their expected role, provide emergency preparedness training at least annually and…

The Home Health Agency failed to conduct exercises to test the emergency plan at least annually.

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 1 out 7 Sampled Patient (SP).

The provider failed to give written notice of the patient's rights and responsibilities, and the Home Health Agency's transfer and discharge policies understandable to persons who have limited English proficiency for 7 out of 7 Sampled Patients (SP).

The provider failed to give the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 7 out 7 Sampled Patient (SP).

The provider failed to give written notice of the patient's rights and responsibilities, and the Home Health Agency's transfer and discharge policies understandable to persons who have limited English proficiency within 4 business days of the initial evaluation visit for 7 out of 7 Sampled Patients…

The provider failed to ensure that the patients were informed in advance of the disciplines that will furnish care and the frequency of visits proposed to be furnished for 5 out of 7 Sampled Patients (SP).

The provider failed to receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care for 1 out of 5 Sampled Patients (SP).

The provider failed to ensure that a review of all medications the patient is taking in 7 out of 7 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the following: frequency and duration of visits to be made, 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…

The provider failed to record all patient care orders in the plan of care for 5 out of 7 Sampled Patients (SP).

The provider failed to document the orders in the patient's clinical record, and sign, date, and time the orders in 2 out of 7 Sampled Patients (SP).

The provider failed to give the name and contact information of the Home Health Agency's clinical manager for 7 out of 7 Sampled Patient (SP).

The home health agency physical therapy staff failed to prepare and record clinical notes for 1 out of 7 Sampled Patients (SP).

The provider failed to conduct an onsite visit to the patient's home no less frequently than every 14 days for supervision of the Home Health Aide (HHA) by a Registered Nurse (RN) or other appropriate skilled professional in 3 out of 7 Sample Patients (SP).

The clinical manager failed to coordinate patient care for 1 out 7 Sampled Patients (SP).

The home health agency failed to provide services in accordance with current clinical practice guidelines and accepted professional standards of practice for 2 out of 7 sampled patients (SP).

The provider failed to have in the clinical record all of the assessments from the most recent home health admission, and physician orders for 1 out of 7 Sampled Patients (SP).