Harmony Home Health Services, LLC

The Condition of Participation for Organization and Administration of Services (CFR 484.105) was not met as evidenced by: A.

The facility failed to maintain an emergency preparedness plan that included current patient census with medical needs.

The facility failed to follow standard infection control practices the home visit of P#1. This failed practice has the potential to expose patients to infections from cross contamination.

The agency failed to ensure HHA (Home Health Aide) Aides had the required 12 hours of in-service training for five 5 staff (S#2-S#6) of 7 personnel files reviewed.

The agency failed to document a resolution for 2 (P#6 and P#9) of 9 (P#1-9) incident reports reviewed.

The facility failed to complete comprehensive assessments within 5 calendar days after the start of care date for 2 (P#4,P#5) of 7 sampled patient charts.

The facility failed to ensure all medications for P#1 was reviewed and updated for possible interactions or adverse effects.

The agency failed to ensure that a clinical manager is available to provide oversight of all patient care services during operating hours which affects all patients.