Integral Home Health Agency, Inc.

The home health agency is unable to demonstrate a completed termination summary including the reason for admission to home health care, type of services being provided, frequency of services, lab data (as applicable) care and out comes meeting goals and medication list for 2 out of 5 Sampled…

Based record review and interview, the Home Health Agency failed to develop an emergency preparedness training and testing program that is based on its emergency preparedness, that included strategies and procedures on the identified risks.

The Home Health Agency failed to conduct training on its emergency preparedness policies and procedures to all new and existing staff and individuals providing services under arrangement consistent with their expected roles.

The Home Health Agency failed to conduct exercises to test its federal emergency preparedness plan and participated in a full-scale exercise that is community-based and/or an individual facility-based exercise.

The Home Health Agency failed to ensure that a Licensed Practical Nurse conformed with the physicians' orders for 1 out of 10 Sampled Patients (SP).

The Home Health Agency failed to evaluate 3 out of 4 Home Health Aide (HHA)'s performances while carrying out the following task with a patient or pseudo-patient.

The Home Health Agency failed to show that 2 out of 5 Home Health Aides (HHA) received at least 12 hours of in-service training during each 12-month period.

The Home Health Agency failed to ensure that a Licensed Practical Nurse (LPN)'s file contained a current and valid license.

The Home Health Agency failed to ensure that a Registered Nurse (RN) who is actively providing patient care had a current and valid license in her personnel file.

The Home Health Agency failed to ensure that two Registered Nurses (RN) prepared Skilled Nursing (SN) notes for 2 out of 10 Sampled Patients (SP).

The Home Health Agency failed to maintain documentation that demonstrates that 1 out of 5 staff reviewed completed 75-hours of home health aide training.

The Home Health Agency failed to ensure that onsite Registered Nurse (RN) supervisory visits were conducted to evaluate the care rendered by the Home Health Aide (HHA) at a minimum of every 2 weeks for 1 out of 7 Sampled Patients (SP) receiving skilled care and Home Health Aide Services.

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional made an annual on-site visit to the location where a patient is receiving care to observe and assess 2 out of 5 Home Health Aides (HHA).

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 ensure that all new and existing staff participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles.

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…