Greenspring Village Home Support Services

The agency failed to ensure the agency's emergency plan was reviewed and updated at least annually.

The agency failed to ensure the agency's emergency plan included 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 agency failed to develop 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 condition and home environment.

The agency failed to develop a policy and procedure 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 including informing State and local officials of any on-duty staff or patients…

The agency's emergency preparedness plan failed to include a policy related to medical documents.

The agency's emergency's plan failed to include a policy and procedure for the use of volunteers in an emergency or for emergency staff needs.

The agency failed to ensure their communication plan contained the names and contact information of the patient's physicians.

The agency failed to ensure their communication plan included a means of providing information about the agency's needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to ensure documentation of training in emergency preparedness policies and procedures to all new and existing staff consistent with their expected role to include testing of the staff's knowledge of the training.

The agency failed to conduct and document exercises to test their emergency plan at least annually.

The agency failed to ensure 12 hours of inservice training was completed by one (1) home health aide.

The agency failed to ensure patient's plans of care contained measurable outcomes and goals identified by the home health agency (HHA) and the patient for seven (7) of seven (7) medical records reviewed in the survey sample.

The agency failed to ensure that the patient's physician was promptly alerted to any changes in the patient's condition for one (1) of seven (7) medical records reviewed in the survey sample.

The agency failed to ensure that home health aide services were provided according to the care plan for one (1) of two (2) patients receiving home health aide services.

The agency failed to document an annual on-site visit to the location where a patient is receiving care to observe and assess the aide while he/she is performing care for one (1) home health aide.

The Administrator failed to ensure home health employees completed an initial orientation and competency checks related to their specific personnel duties for two (2) of three (3) employees hired in 2017 and/or 2018. Personnel files #2 and 3. Findings: Three personnel files of employees hired in…