Everest Home Health & Hospice, LLC
Inspection 2024-02-08
· Complaint · 10 deficiencies · CMS source report (PDF)The home health agency (HHA) failed to implement, maintain, and document a current emergency preparedness (EP) program.
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The home health agency (HHA) failed to implement, maintain, and document a home health-wide data-driven quality assessment and performance improvement (QAPI) program.
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The home health agency (HHA) failed to implement, maintain and document an infection prevention and control program.
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The home health agency (HHA) failed to meet the requirements for organization and administration of services.
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The home health agency (HHA) failed to maintain clinical records that were readily available and contained all the required information.
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The home health agency (HHA) did not ensure there was a governing body, that assumed full legal authority and responsibility for the management of the home health, the provision of all home health services, and its fiscal operations.
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The home health agency (HHA) did not have an overall financial plan and budget that was prepared, reviewed and updated annually under the direction of the governing body.
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The home health agency (HHA) did not ensure that all patient medications had been reviewed as part of the comprehensive assessment and updated on the patients' medication profile for 1 of 5 sampled patients.
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The home health agency (HHA) did not have an agency administrator who was appointed by and could report to the governing body and who was responsible for all day-to-day operations of the HHA.
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The home health agency (HHA) did not notify the state survey agency that their approved branches were no longer active and functioning.
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