Carefirst Homecare, LLC

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

The agency failed to ensure their emergency preparedness plan included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials and efforts to maintain an integrated response during a disaster or emergency situation, including…

The agency failed to ensure the comprehensive assessment included a description of the patient's individual emergency preparedness plan in the event of an emergency for eight (8) of ten (10) clinical records reviewed in the survey sample.

The agency failed to ensure their emergency preparedness plan contained a policy and procedure regarding a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The agency's emergency's plan failed to include a policy and procedure for the use of volunteers in an emergency or for emergency staff needs.

The agency failed to include the names and contact information for the following in their emergency preparedness communication plan: (1) Staff.

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

The agency's emergency preparedness plan failed to contain a training and testing program.

The agency's emergency preparedness plan failed to contain documentation regarding initial and annual training in emergency preparedness to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role including…

The agency's emergency preparedness plan failed to contain documentation regarding participation in the following: a full-scale exercise that was community-based or when a community-based exercise is not accessible, an individual, facility-based, a second full-scale exercise that is community-based…

The agency failed to maintain a current CLIA (Clinical Laboratory Improvement Amendments) certification for laboratory services.

The agency failed to ensure the contact information for the Administrator was included in the agency's complaint procedure in their admission packet.

The agency failed to ensure informed consents completed at the time of admission contained documentation regarding the frequency and/or duration of visits and patient-identified goals for eight (8) of ten (10) clinical records reviewed in the survey sample.

The agency failed to document informing patients at the time of admission regarding: (1) The extent to which payment for HHA (home health agency) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, (2) The charges for services…

The agency failed to document the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: (1) Agency on Aging (2) Center for Independent Living (3) Protection and Advocacy Agency,(4) Aging and Disability…

The agency failed to ensure the individualized plans of care included a description of the patient's risk for emergency department visits and all necessary interventions to address the underlying risk factors for ten (10) of ten (10) clinical records reviewed in the survey sample.

The agency failed to document an annual on-site supervisory 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 one (1) of one (1) home health aide.