Premier Home Health, Inc

The agency failed to ensure the implementation of a comprehensive EPP that included the HHA's approach to meet the health, safety, and security needs of their staff and patient population during an emergency or disaster situation.

The Agency failed to ensure an EPP was developed, reviewed, and updated at least every two years.

The agency failed to ensure the EPP included an all-hazards approach based on a facility and community risk assessment.

The agency failed to ensure the EPP, and policies identified the patient population that would be at risk during an emergent event, the services able to be provided by the agency during an emergency, how the agency planned to continue operation in the event of an emergency, or the delegation of…

The agency failed to ensure the EPP, and policies identified the process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation.

The agency failed to ensure the EPP policies and procedures were developed based on a risk assessment and communication plan.

The agency failed to ensure the EPP policies addressed a system to ensure each patient's record included an assessment to determine an individual plan for the patient in the event of an emergency or disaster.

The agency failed to ensure the EPP policies addressed a system to ensure procedures were in place to inform State and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and…

The agency failed to ensure the EPP, and policies identified the process for follow up with on-duty staff and patients to determine what services were needed, in the event there was an interruption in services during or due to an emergency.

The agency failed to ensure the EPP, and policies identified a system of medical documentation that preserved patient information, protected confidentiality of patient information, and secured and maintained availability of medical records.

The agency failed to ensure the EPP, and policies included an emergency communication plan, and the communication plan was reviewed and updated at least every two years.

The agency failed to maintain a current list of names and contact information in an "Emergency Preparedness Communication Plan" that included all facility staff members, patient physicians and providers, and all entities providing services to the agency under arrangement.

The agency failed to ensure the EPP, and policies included primary and alternate means for communicating with facility staff as well as Federal, State, tribal, regional, and local emergency management agencies in the event of an emergency.

The agency failed to ensure the EPP Communication Plan included a written policy or procedure that addressed the sharing of information and medical documentation for patients receiving care by the agency.

The agency failed to ensure the EPP, and policies included a method for providing information regarding the agency's needs and ability to assist the authority having jurisdiction over the emergency or the Incident Command Center in the event of an emergency.

The Home Health Agency (HHA) failed to ensure an EPP training and testing program was in place and reviewed at least every two years by Administration.

The Home Health Agency (HHA) failed to ensure ten of ten agency staff (Administrator, Director of Nursing (DON), Physical Therapist (PT) 1, Occupational Therapist (OT) 1, Physical Therapy Assistant (PTA) 1, Master Social Work (MSW), Certified Nurse Assistant (CNA) 1, Registered Nurse (RN) 1…

The Home Health Agency (HHA) failed to conduct an exercise to test the agency's EPP annually and failed to conduct a facility-based functional exercise every two years.

The Home Health Agency (HHA) failed to ensure the timely submission of OASIS (Outcome and Assessment Information Set) to IQIES (Internet Quality and Improvement and Evaluation System).

The Home Health Agency (HHA) failed to ensure written information related to patient rights, care and services was routinely provided in a language that could be easily understood by each patient.

The Home Health Agency (HHA) failed to ensure multiple grievances were addressed and resolved for 1 of 8 Patients (P3) reviewed in the sample.

The Home Health Agency (HHA) failed to ensure required in-service training for 2 of 10 employees (Administrator and Director of Nursing (DON)) were completed.

The agency failed to ensure the Skilled Nurse (SN) performed wound care with appropriate hand hygiene (washing hands with soap and water or alcohol-based hand rub/ABHR) after glove removal and failed to use clean gloves for wound care for one of one observation of wound care (Patient (P) 3).

The Agency failed to develop and implement an emergency preparedness plan, which included testing at least annually for 10 of 10 employees (Employees #1, #3, #5, #6, #7, #8, #9, #10, #11, #12 and #13).

The Agency failed to develop and implement an emergency preparedness plan, which included a Training program to provide: 1) Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent…

The agency failed to maintain tuberculosis surveillance for 4 of 10 employee files reviewed (Employee #1, #3, #6 and #7).

The agency did not provide patients with the required state toll free home health agency information.

The agency did not ensure medication instructions were accurately conveyed to the caregivers for 1 of 3 patients visited in group homes (Patient #3).