Prime Choice Home Health, Inc

The agency failed to ensure the emergency preparedness program addressed the annual review and update of the emergency plan, creating the risk of not providing the necessary care and services to the patients during the disaster events.

The agency failed to ensure the emergency preparedness P&P addressed the requirements for each patient's individual plan during the disasters to be included as part of the comprehensive patient assessments, creating the increased risk of not addressing the care needs for the patients during the…

The agency failed to ensure the emergency preparedness P&P included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure the emergency preparedness communication plan must be reviewed and updated at least annually, creating the potential risk of not providing the necessary care and services to the patients during the emergency events.

The agency failed to ensure the initial training in the emergency preparedness program was provided to all staff including volunteers.

The agency failed to ensure the patients received care and services as written in the POC for seven of seven sampled patients (Patients 1, 2, 3, 4, 5, 6, and 7), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's RN provided supervision to the CHHA to ensure quality of care and services provided for one of seven sampled patients (Patient 3), creating the risk of a substandard healthcare outcome to this patient.

The agency failed to ensure the clinical records were complete and accurate for three of seven sampled patients (Patients 1, 2, and 5), creating the risk of substandard care provided to these patients as their clinical information was not complete and accurate.

The agency failed to ensure the grievance was thoroughly investigated for one nonsampled patient (Patient A), creating the risk of violating the patient's rights and not providing quality of care and services to this patient.

The agency failed to ensure the complaint process was completed as per the agency's P&P for one nonsampled patient (Patient A), creating the risk of violating the patient's rights and not addressing the grievances for this patient.

The agency failed to ensure the comprehensive assessments included the patient's current health and functional health status for three of seven sampled patients (Patients 2, 6, and 7), creating the risk of not providing necessary care and services to these patients.

The agency failed to ensure the review of the medications included all of the patient's current medications to identify any potential adverse effects and drug reactions for four of seven sampled patients (Patients 3, 4, 5, and 6).

The agency's RN failed to complete the updated comprehensive assessments within the last 5 days of every 60 days for four of seven sampled patients (Patients 3 and 4), creating the increased risk of not addressing the care needs for these patients.

The agency failed to ensure the POC was revised as needed to reflect the care needs for one of seven sampled patients (Patient 3), creating the increased risk of not addressing the care needs for this patient.

The agency failed to ensure the SN coordinated care with the physician for two of seven sampled patients (Patients 3 and 4), creating the risk of not providing the necessary care and services to these patients.

The agency failed to provide the written instructions outlining the SN visit schedules for two of seven sampled patients (Patients 4 and 5), creating the risk of not providing the necessary information to these patients.

The agency failed to ensure the teaching provided by the SN related to specific diagnosis and medications of two of seven sampled patients (Patients 1 and 5), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled professionals accurately prepared the clinical notes for three of seven sampled patients (Patients 1, 3, and 5), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the agency's RN provided supervision to the SN to ensure quality of care and services provided for four of seven sampled patients (Patients 3, 4, 6, and 7), creating the risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the CHHA provided care and services in accordance with the POC for one of seven sampled patients (Patient 3), creating the risk of not providing necessary care and services to this patient.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&Ps related to blood pressure monitoring for one of seven sampled patients (Patient 4) and employee health assessments for four employees (LVNs 1, 3, 4, and CHHA 1) were not implemented, creating the…

The agency failed to ensure the discharge summaries were sent to the physician for two of seven sampled (Patients 1 and 2), creating the risk of the physician not knowing the patient's condition to anticipate the patient's care needs.