First Choice Home Healthcare LLC

The agency did not implement the Emergency Preparedness Plan.

The agency failed to identify indicators, and measure, analyze and track quality indicators to improve health outcomes, patient safety, and quality of care.

The agency failed to identify indicators, and measure, analyze and track quality indicators or to derive data from Outcome and Assessment Information Set (OASIS) or other relevant sources.

The agency failed to develop an infection control program which included surveillance, identification, prevention, control, and investigation of infectious and communicable diseases and maintain an infection control program which was an internal part of the agency quality assessment and performance…

The information the agency provided to patients in regards to the Grievance/Complaint Procedure did not contain the correct toll-free telephone number and business hours.

The agency failed to ensure Advance Directive information was included in the individualized patient Plan of Care for 4 of 7 sampled patients (Patient #1, #3, #5, #2 and 4).

The agency failed to ensure the physician was notified of a missed skilled nursing visit for 1 of 7 sampled patients (Patient #3).

The agency failed to ensure skilled nursing visits were provided and respiratory status was assessed as ordered by the physician for 1 of 7 sampled patients (Patient #3).