Covenant Home Health

The hospice failed to ensure that an emergency preparedness plan was created that was individualized to the specific needs of the facility and was comprehensively updated every two years.

The home health agency failed to ensure that individualized emergency preparedness plans were developed with each patient, included as part of the patient's comprehensive assessment and documented for seventeen (17) of 17 patients reviewed.

The home health agency has failed to ensure that a procedure was developed to ensure that patients can be contacted in the event of a disruption in services due to an emergency or a policy or procedure for informing state and local officials of any on-duty staff or patients they are unable to…

The home health agency failed to ensure the facility's emergency preparedness communication plan included the contact information for facility staff servicing patients, the contact information for doctors servicing patients, and for entities providing services under arrangements to the patients.

The home health agency failed to ensure that alternate means of communication was available in an emergency event.

The agency failed to ensure the facility exercised its emergency preparedness plan every two years by participating in a full-scale exercise.

The HHA failed to ensure information must be provided to patients in plain language and in a manner that is accessible and timely.

The Home Health Agency(HHA) failed to provide the current HHA Administrator's name to receive complaints.

The HHA failed to allow the patient to participate in care and the staff failed to keep the patient informed of changes in the plan of care.

The HHA failed to furnish patient(s) 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.

The HHA failed to advise patients and patient representatives of the names, addresses, and telephone numbers of the required federally and state-funded entities.

The Administrator has failed to ensure that access to language services and the ability to access language services was provided to one (1) out of seventeen (17) patients surveyed, Patient #12. Failure to inform patients of their right to auxiliary language services and then to provision of…

The agency failed to maintain an infection control program that ensures a plan for the appropriate actions that are expected to result in improvement and disease prevention, and measures are established and control of infections and communicable diseases are monitored which poses a potential risk…

The agency failed to designate, in writing, an administrator who has the qualifications.

The agency failed to designate, in writing, a qualified, pre-designated person, who is authorized in writing by the administrator and the governing body, assumes the same responsibilities and obligations as the administrator.