Preferred Home Health Care Inc.

The agency failed to ensure the Emergency Preparedness (EP) Program was developed based on an all-hazards risk assessment and conducted exercises to test the emergency plan annually.

This agency failed to develop, implement, evaluate and maintain an effective, ongoing home health agency, QAPI (Quality Assessment and Performance Improvement) program in 1 of 1 QAPI programs reviewed.

This agency failed to develop, implement, evaluate and maintain an effective, ongoing home health agency Infection Control program in 1 of 1 Infection Control programs reviewed.

The agency failed to have an Emergency Preparedness (EP) plan based on a risk assessment using all hazards approach and reviewed annually.

The agency failed to document a facility risk assessment based on an all-hazards approach.

The agency failed to have policies and procedures that were based on a facility risk assessment, reviewed and updated annually in 1 of 1 Emergency Preparedness (EP) plan.

The agency failed to conduct training and testing of the EP program annually.

The agency failed to conduct exercises to test their emergency plan at least annually.

The agency failed to inform the patient and/or representative of the agency policies for transfer and discharge in 1 of 1 Patient Rights forms reviewed.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that showed measurable improvements in quality indicators for patient safety and quality of care in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that utilized program quality data in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that included performance improvement activities in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that performance improvement activities tracked, analyzed and implemented preventative actions in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that conducted performance improvement projects in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that had continued oversight by the Governing Body in 1 of 1 QAPI program.

This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.

This agency failed to maintain a agency-wide program for the surveillance and identiifcation of infectious and communicable diseases in 1 of 1 Infection Conrol Program.

The agency failed to inform the patient and/or representative of their rights, orally or in writing, of any changes in care regarding the payment sources and charges as soon as possible in advance of the next home health visit in 1 of 1 Patient Rights forms reviewed.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that included a focus on high risk, high volume, or problem-prone areas in 1 of 1 QAPI program.

This agency failed implement a QAPI (Quality Assessment and Performance Improvement) program that included incidence, prevalence and severity of problems in 1 of 1 QAPI program.

This agency failed implement a QAPI (Quality Assessment and Performance Improvement) program that included activities lead to immediate corrective action for any identified problem in 1 of 1 QAPI program.

This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that included performance improvements projects that measured success and tracked performance to ensure sustainability in 1 of 1 QAPI program.