Family Choice Home Care

The agency failed to ensure administrative review of the Emergency Preparedness Plan at least every other year for all patients and employees.

The agency failed to ensure an emergency preparedness communication plan included current employee and physician contact information for the agency for all patients and employees.

The agency failed to ensure development, implementation, and maintenance of processes for an integrated emergency preparedness response with Federal, State, Tribal, Regional and Local emergency management officials for all patients and employees.

The agency failed to ensure discharge planning included patient case conference activities for six (Patients #1, 2, 3, 5, 6 and #7) of seven patients.

The agency failed to ensure a care plan for home health aide services was completed prior to the first aide visit assignment for one (Patient #7) of seven patients.

The agency failed to ensure an individualized patient POC included a last conducted or an intervention due date for an indwelling foley catheter change for one (Patient #6) of seven patients.

The agency failed to ensure an order for SN to perform indwelling foley catheter irrigation with an identified solution was obtained from the physician for one (Patient #6) of seven patients.

The agency failed to ensure care was coordinated between the agency and physician for one (Patient #5) of seven patients.

The agency failed to ensure the SN performed an indwelling foley catheter change intervention using a size of catheter different than what was ordered by the physician for one (Patient #6) of seven patients Findings: Patient #6 A review of the POC dated 11/14/25 to 01/12/26 showed orders for SN to…

The agency failed to ensure multi-disciplined skilled professional staff participated in its QAPI program for calendar year 2024 and 2025 for all patients and employees.

The agency failed to ensure clinical records were complete for four (Patients #2, 3, 4 and #5) of seven patients.

The agency failed to ensure SN visit notes documented medication dose and injection administration site for one (Patient #3) of seven patients.

The agency failed to ensure a discharge summary was provided to hospice physician for one (Patient #6) of seven patients.

The agency failed to ensure an individualized plan of care included care and services were included for the management of the primary diagnosis for six (Patients # 1, 2, 3, 4, 5 and 8) of eight patients.