Humanity Home Health Care Inc

The Home Health Agency failed to ensure an employee conformed to the physician's orders for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure 1 out of 3 Sampled Patients (SP)'s record contained all the clinical notes for the services rendered by the Physical Therapist (PT).

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 2 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visits.

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 and implement emergency preparedness policies and procedures that must 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…

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 develop and implement emergency preparedness policies and procedures that must address 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…

The provider failed to develop and implement emergency preparedness policies and procedures must 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 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 includes contact information for (i) Federal, State, tribal, regional, and local emergency preparedness staff and (ii) 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 a method for sharing information and medical documentation for patients under the provider'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 demonstrate that an initial training in emergency preparedness policies and procedures was provided to all new and existing staff; and failed to demonstrate staff knowledge of emergency procedures.

The provider failed to demonstrate it analyzed the provider's response to and maintain documentation of all drills, tabletop exercises, and emergency events, and revise the provider'semergency plan, as needed.

The home health agency failed to provide at least one of the qualifying services directly through agency employees.

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visits.

The provider failed to include in the individualized plan of care, the following: Information related to any advanced directives on 3 out of 7 Sampled Patients (SP).

The provider failed to document the orders in the patient's clinical record, and sign, date, and time the orders in 1 out of 7 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 2 out of 7 Sampled Patients (SP).

The provider failed to ensure that 1 out of 5 (E) sample home health aides maintained documentation showing a minimum of 2 hours of training prior to assuming this responsibility of providing assistance with self-administered medication.

The provider failed to ensure that 1 out of 5 (E) sample home health aides kept a record of when 1 out of 8 (#8) sample patients (SP) receives assistance with self-administration.