Lakeview Christian Home Health

The home health agency (HHA) failed to maintain a comprehensive emergency preparedness program that meets the requirements of the federal regulations.

The home health agency (HHA) failed to ensure a facility-based and community-based risk assessment, utilizing an all-hazards approach, had been reviewed and updated since 2017. The deficient practice had the potential to affect the current 60 HHA patients, the current 17 HHA staff members, any…

The home health agency (HHA) failed to ensure the EP plan addressed the patient population and the type of services the HHA could provide during an emergency.

The home health agency (HHA) failed to ensure the EP included its plan for cooperating and collaborating with local, regional, State, and Federal emergency preparedness officials in order to maintain an integrated response during a disaster or emergency situation.

The home health agency (HHA) failed to ensure the EP included contact information for the State and Federal emergency management agencies.

The home health agency (HHA) failed to ensure the communication plan included the manner in which the HHA would provide information about the HHA's occupancy and needs to the authority having jurisdiction during an emergency.

The home health agency (HHA) failed to provide documentation that the agency staff had received emergency preparedness training at least every two years.

The home health agency (HHA) failed to ensure the agency's COVID-19 vaccination policy contained all the required content.

The home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based electronic medical record (EMR).

The home health agency (HHA) failed to ensure patients initial assessment was conducted within 48 hours of the date the referral was received or within 48 hours from the time the patient returned from the hospital for two patients (Patient (P) 4, P7) of seven patient records reviewed.

The home health agency (HHA) failed to ensure services were provided only as ordered by the physician for two (Patient (P) 3, P4) of seven patient records reviewed.

The home health agency (HHA) failed to ensure services were provided as ordered by the physician for one (Patient (P) 5) of seven patient records reviewed.

The home health agency (HHA) failed to ensure the staff communicated with the physician when there was a change in the patient's plan of care (POC) for three (Patient (P)3, P4, P5) of seven patient records reviewed.

The facility failed to provide infection control education to a patient and the caregivers for 1 (P#4) of 7 patient records reviewed.

The facility failed to assess the pain management needs of 1 (P#7) of 7 patients reviewed.

The facility failed to integrate services to assure the identification of patient needs that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines for 2 (P#1 and P#3) of 7 patients reviewed.

The facility failed to provide services ordered by the physician as indicated in the plan of care for 2 (P#1 and 2) of 7 patient records reviewed.

The agency failed to ensure employees were qualified to provide patient care.