Faith Health Care, Inc

The provider failed to demonstrate that an initial training in emergency preparedness policies and procedures was provided to all new and existing staff consistent with their expected roles and provide emergency preparedness training at least every 2 years thereafter for 6 out of 10 sample active…

The provider’s staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 2 out of 3 Sampled Patients (SP) with home visits made.

The provider failed to demonstrate that 5 (Staff A, Staff B, Staff F, Staff G, and Staff K) out of 13 active staff received annual in-service on infection control.

The provider failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are provided directly through agency employees.

The provider failed to ensure that a review of all medications the patient is taking in 2 out of 3 Sampled Patients (SP) with home visits done.

The provider failed to maintain documentation which demonstrates that an individual may furnish home health services on behalf of a Home Health Agency only after that individual has successfully completed a competency evaluation program for 1 out of 5 personnel file review.

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 1 out of 7 Sample Patients (SP).

The home health agency is unable to demonstrate a completed discharge summary for 2 out of 7 Sampled Patients (SP).

The Home Health Agency failed to ensure that their personnel followed the Plan of Care (POC) as written by the physician for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional provided written care instructions for the Home Health Aides (HHA) to follow for 3 out 3 Sampled Patients (SP) reviewed.

The Home Health Agency failed to provide to two Sampled Patients (SP) and the patients' legal representatives (if any) a service agreement during the initial evaluation visit in advance of furnishing care.

The Home Health Agency failed to include in the individualized Plan of Care the following: a description of the patient's risk for emergency department visits and hospital re-admission for 1 out of 3 Sampled Patients (SP).

The Home Health Agency staff failed to prepare and record clinical notes for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that onsite Registered Nurse (RN) supervisory visits were conducted to evaluate the care rendered by the Home Health Aide (HHA) at a minimum of every 2 weeks for 1 out of 3 Sampled Patients (SP) receiving skilled services and Home Health Aide Services.

The Home Health Agency failed to supervise the home health aide on two of the required elements: (v) Reporting changes in the patient's condition; and (vi) Honoring patient rights in 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to have in the clinical record all of the assessments from the most recent home health admission for 2 out of 3 Sampled Patients (SP).

The Home Health Agency (HHA) failed to develop an emergency preparedness plan that contains strategies for addressing emergency events identified by the risk assessment (Refer 0006); the HHA failed to develop an emergency preparedness plan that includes a process for cooperation and collaboration…

The Home Health Agency failed to develop and maintain an emergency preparedness plan that contains strategies for addressing emergency events that were identified by the risk assessment.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes 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…

The Home Health Agency failed to develop and implement an emergency preparedness plan that contains policies and procedures for risk assessment and the communication plan.

The Home Health Agency failed to develop and maintain policies and procedures for their emergency preparedness plan that addresses an interruption of services, the mechanism to inform State and local officials of any on-duty staff that they are unable to contact.

The Home Health Agency failed to develop and maintain a federal emergency preparedness plan that includes a communication plan that contains how the facility coordinates patient care within the facility, across healthcare providers, and with state and local public health departments.

The Home Health Agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; other…

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes a communication plan to provide contact information for tribal emergency preparedness staff and other sources of assistance.

The Home Health Agency failed to develop and maintain an emergency preparedness communication plan that includes alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The Home Health Agency failed to develop an emergency preparedness communication plan that include a means of providing information about the occupancy needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The Home Health Agency failed to develop and maintain an emergency preparedness training and testing program that is based on its emergency preparedness plan that included strategies and procedures on identified risks and a completed communication plan.

The Home Health Agency failed to conduct training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers consistent with their expected role, provide emergency preparedness training at least annually and…

The Home Health Agency failed to conduct exercises to test the emergency plan at least annually.

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients (SP) with home visits made.

The provider failed to show that 1 out of 1 (C) home health aide/certified nursing assistant received at least 12 hours of in-service training during each 12-month period.

The provider failed to provide the Contact information for the Home Health Agency's Administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 1 out of 7 Sampled Patients (SP).

The provider failed to ensure that the patients were informed in advance of the disciplines that will furnish care and the frequency of visits proposed to be furnished for 2 out of 7 Sampled Patients (SP).

The provider failed to give the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient: the extent to which payment for home health agency (HHA) services may be expected from Medicare…

The provider failed to advise of 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 Resource…

The provider failed to ensure that a review of all medications the patient is taking in 2 out of 3 Sampled Patients (SP) with home visits.

The provider failed to include in the individualized plan of care the following components: the plan of care was not complete and accurate based on the patient's immediate care needs (treatment order); description of the patient's risk for emergency department visits and hospital re-admission, and…

The provider failed to give the name and contact information of the Home Health Agency's Clinical Manager for 1 out of 7 Sampled Patient (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 7 Sampled Patients (SP).

The provider failed to ensure that onsite Registered Nurse (RN) supervisory visits were conducted to evaluate the care rendered by the Home Health Aide at a minimum of every 2 weeks for 1 out of 7 sampled patients receiving skilled nursing services and Home Health Aide Services.

The home health agency staff failed to provide service in accordance with accepted professional standards of practice for 1 out of 3 Sampled Patients(SP) with home visits made, SP#2. Findings include: Review of the clinical record of SP#2 contained a Plan of Care (POC) dated 11/02/18 that reads…

The provider failed to have in the clinical record all clinical notes for services provided for 1 out of 7 Sampled Patients (SP) SP # 1, and failed to ensure the clinical record contained all of the assessments from the most recent home health admission for 1 out of 7 sampled patients (SP), SP#4.…