First Choice Home Health Care LLC

The agency failed to comply with all applicable Federal, State and local emergency preparedness requirements, in that: the agency failed to maintain an emergency preparedness plan that was reviewed (to evaluate the plan’s effectiveness) and updated at least annually per state regulatory…

The agency failed to maintain an EP plan that was based on and included a documented facility-based and community-based risk assessment, utilizing an all-hazards approach, in that: The agency’s EP records did not include a documented risk assessment for three (2021, 2022 and 2023) of three years…

The agency failed to conduct and document Performance Improvement Projects, which reflected the scope, complexity, and past performance of the agency's services and operations for three (2021, 2022, and 2023) of three years reviewed.

The HHA’s governing body failed to ensure that an ongoing program for quality improvement and patient safety was defined, implemented, and maintained; and that the HHA-wide quality assessment and performance improvement efforts addressed priorities for improved quality of care and patient safety…

The agency failed to maintain a coordinated agency‐wide program for the surveillance, identification, prevention, control, and investigation of infectious and/or communicable diseases that was an integral part of the Home Health Agency's QAPI program for three (2021, 2022 and 2023) of three years…

The agency failed to ensure proper written notice was provided, in advance of terminating on-going care in two (Patients # 6 and 7) of two inactive patient records reviewed.