Gentle Hands Care Agency,LLC the

The agency failed to have the initial assessment completed by a Registered Nurse (G514) and failed to complete the comprehensive assessment with in five calendar days after the start of care (G520).

The facility failed to have a written plan of care (G572) and a plan of care only as ordered by a physician (G580).

The agency failed to have a written plan of care.

The agency failed to properly advise the client and/or physician of the discharge.

The agency failed have initial assessments completed by a Registered Nurse (RN).

The agency failed to complete comprehensive assessment within the five days after the start of care.

The agency failed to have physician orders for services provided.

The facility failed to ensure patients received services as written in the plan of care for two of four sampled patients (Patient #1 and Patient #4).

The agency failed to complete a comprehensive assessment for one of four sampled patients reviewed (Patient #1).

The agency failed to ensure home health aides had completed a competency evaluation program; failed to ensure the home health aides received at least 12 hours if inservice training; and failed to ensure a registered nurse made an onsite visit every 60 days to observe and assess the aide's…

The agency failed to complete an all hazards risk assessment.

The agency failed to ensure a policy/procedure was in place for the use of volunteers.

The agency failed to establish contact information for federal, state, tribal, regional and local emergency preparedness staff in an easily accessible format.

The agency failed to have a comprehensive communication plan.

The agency failed to develop and maintain an emergency preparedness training and testing program.

The agency failed to provide initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role and maintain documentation of the training.

The facility failed to ensure the home health aides had received a competency evaluation upon hire.

The agency failed to ensure the home health aide received at least 12 hours of in-service training during each 12-month period.

The agency failed to ensure the individualized plan of care for patients included the frequency and duration of visits to be made.

The agency failed to ensure home health aides caring for non-skilled patients received supervisory visits every 60 days by a registered nurse to evaluate their performance.