Jenmerit Home Health Inc

The agency failed to maintain an emergency preparedness plan that was reviewed and updated at least every 2 years for 3 (2023, 2024, and 2025) of three years of the survey review period.

The agency failed to ensure the QAPI Program scope could show measurable improvement in indicators for which there was evidence that improvement in those indicators would improve outcomes, patient safety, and quality of care.

The DON failed to conduct the initial assessment of the patient within 48 hours of referral in 1 (Patient 1) of 2 discharged patient records reviewed.

The home health agency failed to include an agency completed discharge summary in the patient’s discharged record in 2 (Patient 1 and 2) of 2 discharged patient’s record reviewed.