Choice Home Health Services, Inc

The Agency failed to review and update its Emergency Preparedness Plan every two years.

The Agency failed to establish policies and procedures based on the risk assessment.

In 6 of 6 of Employees reviewed (Employees #1, 2, 3, 4, 5, and 6), the Agency failed to ensure Employees received training pertaining to the Agency's Emergency Preparedness Plan.

The Agency failed to conduct the required testing of its Emergency Preparedness Plan.

In of 4 of 822 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

In 1 of 7 (Pts. 3) clinical record reviewed, the Agency failed to ensure POC was followed.

In 1 of 3 (Pt. #3) home visits, the Agency failed to ensure infection control measures were observed to prevent the potential for cross-contamination, as required by the Agency.

In 6 of 7 (Pts. #1, 2, 3, 4 ,5 and 7) clinical records reviewed, the Agency failed to ensure documentation entered into the clinical record was complete.

The Agency failed to provide the Pt./Pt.'s representative information regarding the Administrator.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

In 7 of 7 (Pts. # 1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to ensure the Pt./representative was informed in writing of the services to be provided and the frequency of visits.

In 5 of 7 (Pts. #1, 2, 3, 4 and 7), the Agency failed to ensure Pts. were assessed for the Influenza and / or Pneumonia vaccination status per Agency policy.

In 2 of 2 (Pts. #6 and 7) discharged clinical record reviews, the Agency failed to ensure the Physician was sent a copy of the Discharge summary.