Innova Home Health

The agency failed to ensure a community-based risk assessment (All Hazards Risk Assessment) that identified the agency and showed a subsequent date of review or update for the agency, its patient population, or its employees.

The agency failed to ensure development, implementation and maintenance of processes for an integrated emergency preparedness response with Federal, State, Tribal, Regional and Local emergency management officials, including contact information for the resources, for all patients and employees.

The agency failed to ensure an Emergency Preparedness Communication Plan included updated required information related to the staff and patient contact information for the agency for all patients and staff.

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted for calendar years 2021 and 2022 for all patients and employees.

The agency failed to ensure completion of a transfer/discharge summary for one (Patient #8) of 10 patients.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure evidence of patient centered QAPI Program activities for 3rd and 4th quarters of calendar year 2022 for all patients and employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for calendar years 2021 and 2022 for all patients and employees.

The agency failed to ensure governing body oversite of: 1. A patient centered QAPI Program for calendar years 2021 and 2022 and; 2. An operating budget, capital expenditure plan and allocation of resources activities for calendar years 2021 and 2022 for all patients and staff.

The agency failed to ensure governing body appointment of the alternate clinical manager and/or alternate supervising RN for the agency effecting all patients and staff.

The agency failed to ensure advance beneficiary notice and/or HHCOC notice were provided to two (Patients #5 and #8) of 10 patients.

The agency failed to ensure: 1. Documentation of the problems encountered by the HHA related to behaviors that impeded the HHA from providing care and services for one (Patient #8) of 10 patients; 2. Education of the patient on potential health outcomes from discontinued HHA care and services for…

The agency failed to ensure an individualized patient POC included pain reporting parameters for four (Patients #2, 3, 5 and #10) of 10 patients.

The agency failed to ensure SN visit notes were completed for one (Patients #5) of 10 patients.

The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.