Multicare Home Health Services

The agency failed to develop a plan based on a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and failed to include strategies for addressing the emergency events identified.

The agency failed to document a process and efforts to contact state and local emergency authorities to engage in collaborative planning for an integrated emergency response.

The agency failed to develop EP policies and procedures based on emergency plan, the risk assessment and the communication plan.

The agency failed to develop EP policies and procedures to inform State and local emergency officials about homebound patients in need of evacuation from their home.

The agency failed to develop EP policies and procedures to clearly outline what surrounding facilities the agency had a transfer arrangement with to ensure patient care was continued and outline timelines for transferring patients or under what conditions patients would need to move.

The agency failed to develop a written emergency communication plan describing how the agency coordinated patient care within the agency, with other healthcare providers, with state and local public health departments and how the agency coordinated with emergency management agencies.

The agency failed to develop a written emergency communication plan which included names and contact information for staff, contracted services and patients' physicians.

The agency failed to develop a written emergency communication plan which included an alternate means for communication with staff and local emergency management agencies.

The agency failed to develop an emergency preparedness training and testing program based on the emergency preparedness plan, risk assessment, policies and procedures and the communication plan.

The agency failed to ensure home health services were provided in accordance with a written plan of care for four of seven patients reviewed (Patient #1, #2, #3, and #4).

The agency failed to ensure frequency of visits for the home health aide (HHA) and required durable medical equipment (DME) and supplies used by the patient were included on the patient's plan of care for two of seven patients reviewed (Patient #2 and #3).

The agency failed to provide services only as ordered by the physician for one of seven patients reviewed (Patient #2).

The agency failed to ensure the registered nurse supervised the home health aide (HHA) every 14 days for two fo three patients receiving skilled care (Patient #1 and #2).

The Administrator failed to ensure accurate information was made available to the public.