Frontier Health Care Services, LLC

The facility failed to ensure each patient received personal care services as written.

The facility failed to ensure plans of care included the services to be provided and the frequency and duration of visits to be made.

The facility failed to develop and implement policies and procedures to ensure that all staff are fully vaccinated for COVID-19 and failed to ensure at least 90% of the staff were vaccinated within 30 days from the effective date of the healthcare worker vaccine mandate.

The facility failed to ensure all staff were fully vaccinated against COVID-19 at 100% compliance within the effective date of the healthcare worker vaccine mandate.

The agency failed to develop an emergency preparedness plan, failed to complete a facility and community based risk assessment using an all hazards approach, and failed to include strategies for addressing emergency events identified by the risk assessment.

The agency failed to develop policies and procedures based on the emergency plan and the risk assessment and failed to have procedures for informing state and local emergency preparedness officials about homebound patients in need of evacuation due to emergency situations.

The agency failed to develop an emergency communication plan that included an primary and alternate means to communicate with agency staff and emergency management agencies.

The agency failed to develop a training program for emergency preparedness, and failed to train staff on emergency preparedness.

The agency failed to conduct exercises to test the emergency plan.

The agency failed to ensure care was provided as ordered in the physician ordered plan of care for seven of seven medical records reviewed (Patient #1, #2, #3, #4, #5, #6, and #7).

The agency failed to ensure plans of care included nutritional requirements, risk for emergency department visit or hospital readmission, and advanced directives for five of seven medical records reviewed (Patient #1, #2, #3, #4, and #5) and the agency failed to ensure plans of care included all…

The agency failed to ensure home health aide supervisory visits were documented at least every 14 days for four of four medical records reviewed with skilled services and home health aide services (Patient #1, #2, #3, and #4).