In-Home Lab Connection Inc

Based on interview and document review the licensee failed to develop and maintain an Emergency Preparedness (EP) plan that must be reviewed and updated at least annually.

The agency failed to develop and maintain an Emergency Preparedness (EP) program to include all of the elements under the standard.

Based on interview and document review the licensee failed to develop and implement EP policies and procedures, review and update them annually, and ensure they address the following: the plan for clients during a natural or man-made disaster, procedures to inform state and local emergency…

Staff, entities providing services, client's physician's, volunteers, and emergency officials.

Based on interview and document review the licensee failed to develop and maintain an EP training and testing program.

Based on interview and document review the licensee failed to ensure each client who received home health services had a written, individualized plan of care (POC) that was periodically reviewed (every 60 days) and signed by a physician for 1 of 1 client (C1) reviewed for POC.

Based on interview and document review the licensee failed to provide skilled nursing services and at least one other therapeutic service to their clients.

The agency failed to ensure 5 of 10 patients (P2, P3, P7, P9, P10) were informed or consented to services or care being provided, including any ongoing changes in services.

The agency failed to complete a comprehensive reassessment the last 5 days of each 60 day certification period, beginning with the start of care (SOC), for 2 of 2 patients (P1, P2) currently receiving home care services.

The agency failed to ensure the plan of care (POC) included a description of the risk for emergency department visits and hospital re-admissions, for 2 of 2 current patients (P1, P2) whose records were reviewed.

The agency failed to ensure the plan of care was reviewed by the attending physician at least once every 60 days for 2 of 2 patients (P1, P2) currently receiving home care services.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days by a registered nurse, for 3 of 3 patients (P4, P5, P10) who received skilled services.

The agency failed to ensure direct supervision of the home health aide (HHA) was completed every 60 days for 1 of 1 non-skilled patients (P1) reviewed.

The agency failed to send a completed discharge summary to each patient's primary care provider within 5 days of each patients' discharge, for 4 of 8 patients (P3, P7, P9, P10), who were discharged.