Greater Boston Home Health Care, LLC

The agency failed to develop an emergency plan that included a process for cooperation and collaboration with local, regional, tribal, State and Federal emergency preparedness officials.

The agency failed to conduct exercises to test the emergency plan at least annually by doing the following: (i) Participate in a full-scale exercise that is community-based; or (A) When a community-based exercise is not accessible, conduct an annual individual, facility-based functional exercise…

The agency failed to ensure 1 patient (#13) received the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or…

The agency failed to ensure patient and staff signed consents were legible and clear relative to the date, for 1 patient (#13) out of total sample of 13 patients.

The Agency failed to ensure that the patient’s signature was obtained confirming that he/she had received a copy service agreement and patient rights and responsibilities prior to the start of treatment for 1 of 13 (#1) applicable patients.

The agency failed to ensure all patient care orders, including verbal orders, were recorded in the plan of care for one Patient (#2), out of a total sample of 13 patients.

The agency failed to ensure services that were ordered by the physician or allowed practitioner as indicated in the plan of care for 4 patients (#7, #8, #11 and #4), out of a total sample of 13 patients.

The agency failed to ensure staff communicated with all physicians involved in the plan of care, other health care practitioners (as appropriate) related to the current plan of care for 2 patients (#7 and #8), out of a total sample of 13 patients.