Golden Years Home Care Inc

The Home Health Agency (HHA) failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually (E0004).

The provider failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop an emergency preparedness plan that addresses patient/client population, the type of services the [facility] has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession plans.

The provider failed to develop an emergency preparedness plan that include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to ensure its emergency preparedness plan addressed the procedures to inform State and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and psychiatric…

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency, and procedures on how the home health agency…

The provider failed to develop emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures that must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and…

The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include method for sharing information and medical documentation for patients under the [facility's] care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to develop and maintain an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provider failed to conduct 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; provide emergency preparedness training at least annually; maintain…

The provider failed to participate in a full-scale exercise that is community-based and/or an individual facility-based exercise; failed to conduct additional exercise and failed to analyze the [facility's] response to and maintain documentation of all drills, tabletop exercises, and emergency…

The provider failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis.

The provider failed to provide the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 7 out of 7 Sampled Patient (SP).

The provider failed to inform the patient(s) in writing in advance of the home health agency terminating on-going care in 4 out of 10 Sampled Patients (SP).

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The provider failed to include in the individualized plan of care the following: information related to any advanced directives on 10 out of 10 Sampled Patients (SP).

The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to document the orders in the patient's clinical record, and sign, date, and time the orders in 1 out of 10 Sampled Patients (SP).

The provider failed to document any revisions related to the plans for the patient's discharge that must be communicated to the patient, representative, caregiver, all physicians issuing orders for the home health agency (HHA) plan of care, and the patient's primary care practitioner or other…

The provider failed to provide the name and contact information of the Home Health Agency clinical manager for 10 out of 10 Sampled Patient (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 10 Sampled Patients (SP).

The provider failed to have in the clinical record all clinical notes for service rendered for 1 out of 10 Sampled Patients (SP).

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…