Primary Home Health

The home health agency (HHA) did not develop, establish or maintain a comprehensive emergency preparedness plan.

The home health agency (HHA) did not maintain an emergency plan that was based on and included a facility-based and community-based risk assessment, utilizing an all-hazards approach.

The home health agency (HHA) did not develop and implement emergency policies and procedures, based on their emergency plan set forth from the risk assessment.

The home health agency (HHA) did not ensure individual emergency plan's (IEP) were developed for the HHA's patients during a natural or man-made disaster.

The home health agency (HHA) did not develop and implement emergency communication that complies with Federal, State and local laws.

The home health agency (HHA) did not provide an Outcome and Assessment Information Set (OASIS) privacy notice to all patients, for whom the OASIS data was collected.

The home health agency (HHA) did not advise the patient of the charges the individual may have to pay before care was initiated.

The home health agency (HHA) did not provide to the patients, the names, addresses, and telephone numbers of the following Federally funded and state-funded entities that serve the area where the patient resides: The Agency on Aging, The Center for Independent Living, The Protection and Advocacy…

The agency did not ensure that all patient medications had been reviewed by a nurse no later than 5 calendar days from their start of care for 7 of 7 patients.

The home health agency (HHA) did not ensure each patient's plan of care (POC) contained all the required elements for 7 of 7 sampled patients.

The home health agency (HHA) did not provide services that were ordered by the physician for 3 of 7 sample patients.

The document titled Appointment of Administrators was dated 5/2/2023. On 5/2/2023 at 3:16 PM, an email was sent to the administrator asking for an explanation as to why the appointment was not completed prior to the survey date.

The agency did not have a qualified pre-designated person to assume the same responsibilities and obligations as the administrator in the event of the administrators absence.

The home health agency (HHA) did not complete a discharge summary that was sent to the primary care practitioner within five business days of discharge or within two business days of a transfer occurring, for 2 of 2 sampled discharged patients.

For 1 of 7 sample patients that the agency did not conform with physician orders.