Gentiva Certified Healthcare Corporation

The Agency did not have a process and did not participate with, state, federal or county emergency, in disaster preparedness planning or drills.

The Agency failed to ensure staff documented patient's individualized response to the Agency's Patient Emergency Plan, as part of the comprehensive assessment for 1 of 4 patients with home visits (Patient 1), potentially placing vulnerable patients at risk during an emergency.

The Agency did not have a process for agency staff to implement, if agency patients requested help in evacuating during a disaster.

The facility failed to ensure the Agency Disaster Manual included a plan for agency staff if they were unable to contact their homebound patients.

The Agency failed to: 1) Document that there was a delay in the Occupational Therapy Evaluation visit for Patient 4 and failed to inform the physician; 2) Follow Patient 3's Plan of Care when there was a missed physical therapy visit and failed to inform the physician; 3) Follow Patient 8's Plan of…

The Agency failed to ensure the Certified Occupational Therapist Assistants, who provided home health aide services, were competent to provide that service for two of two patients (Patients 7 and 10) reviewed, who required home health aide services, resulting in a potential their personal hygiene…

The Agency failed to immediately report alleged abuse of one patient (Patient 7) to the appropriate agencies and failed to follow its own policies on abuse reporting.

The Agency failed to ensure that: 1) An inhaler medication was identified on the Medication Profile (a complete list of medications for the patient), for one of four patients with home visits (Patient 1), resulting in the potential that Agency staff may not have sufficient knowledge to educate…

The Agency failed to conduct a resumption of care comprehensive assessment for 1 of 10 sampled patients, Patient 3, within 48 hours after being discharged from the hospital; Patient 3 was discharged from the hospital on 2/22/19, and the Agency assessed and resumed home health services on 2/26/19…

The Agency failed to ensure a physician was notified of a change in the Plan of Care for one of ten patients reviewed (Patient 5), which resulted in the possible development of a wound which could have been prevented.

The Agency failed to communicate with a physician, when one of ten patients reviewed (Patient 8), had an untreated Urinary Tract Infection (UTI) and did not receive timely medication, resulting in a potential for serious health complications.

Patient 4 and Patient 9. The Agency also did not have a face-to-face document included in one of 10 sample medical records for Patient 1. These failures had the potential the Agency's Medicare patients would not receive a physician face-to-face encounter describing the patient's clinical condition…

The facility failed to provide the physician a timely Discharge Summary for one of three discharge records reviewed (Patient 5).