Kanddid Healthcare, Inc

1. Based on interview and record review, the facility failed to develop and maintain an Emergency Preparedness Program that must be reviewed and updated annually to protect and safeguard the patients during a disaster or emergency for three of three (3) patients (patients 1,2,and 3).

The home health agency failed to ensure the Condition of Participation G 680 484.70: Infection prevention and control was in compliance.

The facility failed to develop and maintain an Emergency Preparedness Program that must be reviewed and updated annually to protect and safeguard the patients during a disaster or emergency for three of three (3) patients (patients 1,2,and 3).

The agency failed to conduct and document an agency based risk assessment (facility based includes, but not limited to, hazards specific to a facility based on the geographic location; patient population; facility type and potential surrounding community) for a universe of 3 patients.

The facility failed to collaborate with local, regional, State and Federal agency preparedness officials to cooperate in the planning efforts to maintain an integrated response during disaster or emergency for the Home Health Agency patients.

The agency failed to develop individual patient emergency preparedness plans based on and included in the patients' individual plan of care and assessment for three (3) of three (3) sampled patients (Patient 1, 2, and 3).

The agency failed to implement procedures to inform emergency preparedness officials about patients in need of evacuation and the needs of the patients would require during the evacuation process for a universe of 3 patients.

The agency failed to develop a policy and procedure that indicated a system on how to preserve patients' medical information, protects confidentiality, and secures and maintains availability of records for a universe of 3 patients.

The facility failed to develop a communication plan that complies with the federal, state, and local laws, reviewed and updated at least annually for a universe of 3 patients.

The agency failed to develop a back-up plan in the event of communication (phone service) failure during a disaster or emergency for a universe of 3 patients.

The agency failed to provide training to all staff, as well as contracted staff, on the emergency preparedness procedures and emergency management plan for a universe of 3 patients.

The agency failed to ensure there were communication notes on minutes of case conferences that documented effective interchange, reporting and coordination of patient care for 3 of 7 sampled patients (Patient 4, 5, and 7) as evidenced by no documentation to show that the case conference meetings…

The agency failed to implement and maintain an infection control program which included surveillance, identification, prevention, control and investigation of infection, in a universe of 3 patients.

The home health agency (HHA) failed to ensure the physician's order for 1 of 7 patients (Patient 7) for Skilled Nursing (SN) visits two times per week visit as ordered and as indicated in the plan of care was followed.