Marion County Home Care Services
Inspection 2024-08-08
· Recertification · 22 deficiencies · CMS source report (PDF)The Home Health Agency (HHA) failed to comply with the regulatory requirements specified in §484.102, §485.68, §485.542, and §485.727. Specifically, the HHA did not establish and maintain a comprehensive emergency preparedness program that meets all applicable Federal, State, and local emergency…
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The Home Health Agency (HHA) failed to comply with the requirement to develop and maintain a comprehensive emergency preparedness program, as specified under §484.102. Review of the agency's Emergency Preparedness Program (EPP) revealed that there was no documented date of review or revision for…
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The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness plan that addresses the patient/client population, as required by §484.102. Review of the agency's Emergency Preparedness Program (EPP) revealed that there was no policy or statement within the plan addressing the…
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The Home Health Agency (HHA) failed to include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials, as required by §484.102. Review of the agency's Emergency Preparedness Program (EPP), last revised by the facility on…
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The Home Health Agency (HHA) failed to develop and implement policies and procedures to address patient care during natural or man-made disasters, including the requirement for individual patient plans as part of the comprehensive patient assessment, as required by §484.102(b)(1).
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The Home Health Agency (HHA) failed to develop and implement procedures to inform State and local emergency preparedness officials about patients needing evacuation due to an emergency, based on their medical and psychiatric conditions and home environment.
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The Home Health Agency (HHA) failed to establish and implement procedures for following up with on-duty staff and patients to determine services needed during an emergency interruption.
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The Home Health Agency (HHA) failed to establish and implement policies and procedures for maintaining a system of medical documentation.
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The Home Health Agency (HHA) failed to develop and implement policies and procedures for the use of volunteers and emergency staffing strategies.
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The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State, and local laws.
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The Home Health Agency (HHA) failed to include required contact information in their emergency preparedness communication plan as mandated by §484.102(c).
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The Home Health Agency (HHA) failed to include required contact information in their emergency preparedness communication plan, as mandated by §484.102(c).
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The Home Health Agency (HHA) failed to develop and maintain methods for sharing patient information and medical documentation with other health providers to maintain continuity of care.
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The Home Health Agency (HHA) failed to include a means of providing information about its occupancy, needs, and ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee.
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The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness training and testing program as required.
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The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness training program as required.
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The Home Health Agency (HHA) failed to meet the emergency preparedness testing requirements.
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The Home Health Agency (HHA) failed to comply with the requirements for an integrated emergency preparedness program as specified in §484.102(e).
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The home health agency skilled staff failed to ensure the patient's right to participate in, be informed about, and consent or refuse care in advance of and during treatment, with respect to the disciplines that will furnish the care and the frequency of visits for 7 (Patients 1 - 7) of 7 sample…
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The Home Health Agency (HHA) failed to provide the patient and caregiver a copy of written instructions outlining visit schedules that included frequency of visits by HHA personnel for 7 (Patients 1 - 7) of 7 Patients.
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The Home Health Agency (HHA) failed to provide the patient and caregiver a copy of written instructions outlining medication schedule instructions, that included medication name, dosage, frequency, and which medications would be administered by the HHA personnel for 7 (Patients 1 - 7) of 7 Patients.
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The Home Health Agency (HHA) failed to provide the patient and caregiver a copy of written instructions outlining wound care treatments and therapy home exercise program for 3 (Patients 1, 2, and 3.) of 7 Patients.
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Inspection 2021-04-29
· Focused Infection Control, Other-Fed, Recertification · 7 deficiencies · CMS source report (PDF)The Home Health Agency (HHA) failed to develop an infection prevention and control program, that included procedures to ensure agency staff consistently followed accepted standards of practice for screening and masking to mitigate the risk of COVID-19 exposure for agency visitors and staff.
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The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to make complaints to the HHA regarding the lack of respect for property and/or person by anyone who is furnishing services on behalf of the HHA.
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The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to participate in, be informed about, and consent or refuse care during treatment, where appropriate, with respect to; Completion of all assessments; The care to be…
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The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to a confidential clinical record that included access to or release of patient information and clinical records permitted in accordance with 45 CFR parts 160 and 164. The…
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The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to be advised of any changes in the information provided in accordance with paragraph (c)(7) of this section when they occur.
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The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA…
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The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to be advised of the names, addresses, and telephone numbers of the following federally-funded and state-funded entities that serve the area where the patient resides that…
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