Mama Annies Home Health Care LLC
Inspection 2026-06-22
· Other-Fed · 6 deficiencies · CMS source report (PDF)The agency failed to ensure emergency preparedness training was completed for all existing staff for 1 of 1 home health agencies.
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The agency failed to ensure an exercise was performed to test the emergency preparedness plan and an after-action plan was completed for 1 of 1 home health agencies.
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The agency failed to ensure a performance improvement project was conducted for 1 of 1 agency QAPI program.
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The agency failed to ensure the POC included a seizure plan, rehabilitation potential, and/or discharge planning for 10 of 10 clinical records reviewed (Patient #1, 2, 3, 4, 5, 6, 7, 8, 9, and 10).
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The agency failed to ensure verbal orders were documented as an order and authenticated by the physician for 1 of 4 active clinical records review with patients receiving medication set up (Patient #1).
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The agency failed to ensure the RN’s initial comprehensive assessment and ongoing patient assessments accurately reflected the client’s health status for 1 of 1 patients with an AV (arteriovenous) fistula.
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