Caring Touch Home Health Inc

The agency's emergency preparedness plan failed to review and update the all-hazard approach to include emerging infectious disease threats.

The agency failed to maintain documentation of a training and testing program based on the agency's risk assessment required for staff.

The agency failed to maintain documentation of evidence of the staff’s ability to demonstrate knowledge of agency’s emergency preparedness plan.

The agency failed to ensure testing exercises were conducted annually.

The Administrator failed to retrieve clinical records in a manner as requested for the survey process.

The agency failed to ensure the Administrator was responsible for all day-to-day operations of the HHA.

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 include a description of the patient population including but not limited to the types of services the agency would be able to provide during an emergency situation to include delegations of authority and maintaining continuity of operations . Findings: The agency's emergency…

The agency failed to include in their emergency preparedness plan 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.

The agency failed to ensure individual emergency preparedness plans for each patient were developed and documented for seven (7) of seven (7) clinical records reviewed in the survey sample.

The Policy and Procedure section of their emergency preparedness plan failed to include the procedures to inform State/Local officials regarding patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and psychiatric condition…

The Policy and Procedure section of their emergency preparedness plan failed to include the procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency and inform State and local…

The Policy and Procedure section of their emergency preparedness plan failed to include a description of their of medical documentation system that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The Policy and Procedure section of their emergency preparedness plan failed to include a description of the use of volunteers in an emergency and other staffing strategies to address surge needs during an emergency.

The Communication Plan section of their emergency preparedness plan failed to include contact information for Federal, State, tribal, regional, or local emergency preparedness staff.

The Communication Plan section of their emergency preparedness plan failed to include a means of providing information about the agency's needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency's emergency preparedness plan failed to contain documentation regarding testing and training to all new and existing staff and anyone working under arrangement for 2018, and so far for 2019. Findings: The agency's emergency preparedness plan was reviewed in the agency with the…

The agency failed to provide a copy of the patient's current medication regime and their current visit schedule for three (3) of three (3) home visits conducted on 01/29/2020. Patient #'s 3, 4, and 5. Findings: Home visits were made on 1/29/2020. During the home visits the patient's admission…

The agency's Admission Packet failed to contain a copy of the agency's Transfer and Discharge policies and procedures.

The agency's Admission Packet failed to contain 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…

The agency failed to ensure each individual plan of care included 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 for seven of seven clinical records reviewed in the survey sample.

The Administrator failed to ensure the agency has an Administrative Alternate to provide administrative coverage when the administrator is not available.