Choice One Home Health Care

The Agency (HHA) failed to develop and maintain an emergency preparedness plan that must be reviewed and updated at least annually (See E0004); failed to develop an Emergency Preparedness Plan using a facility-based and community-based risk assessment, and utilizing an all hazards approach (See…

The agency failed to maintain and document infection control tracking for employees, failed to gather infection control data, failed to analyze infections and track infection trends (G-684); The cumulative effect of these systemic problems resulted in the agency's inability to improve patient care…

The agency failed to ensure a governing body assumed responsibility for the operation of the agency, the provision of all home health services and its quality assessment and performance improvement program, resulting in a lack of overall leadership in the agency's provision of home health services…

The agency failed to develop, establish and maintain an emergency preparedness plan that must be reviewed and updated at least every two years.

The home health agency failed to develop an Emergency Preparedness Plan using a facility-based and community-based risk assessment, and utilizing an all-hazards approach, resulting in the potential to negatively affect all patients seen by the agency.

The Home Health Agency (HHA) failed to include a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency; and failed to document their efforts in contacting these officials…

The agency failed to develop Emergency Preparedness policies and procedures that aligned with the emergency plan, risk assessment and communication plan.

The agency failed to develop and maintain an Emergency Preparedness communication plan and ensure the communication plan was reviewed and updated at least annually.

The agency failed to develop and maintain an Emergency Preparedness training and testing program that is based on the emergency plan, risk assessment, policies, procedures, and the communication plan.

The Agency (HHA) failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the HHA's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for…

The home health agency failed to have an active Governing Body that met at least annually, and assumed full legal authority and responsibility for the agency's overall management and operations, all services provided, the fiscal operations, review of the agency's budget and operations plans and…