Senior Care Solutions

The home health agency failed to encode and electronically transmit 104 of 243 (42.8%) OASIS assessments to the CMS system within 30 days of completing the assessment of the beneficiary from 6/15/2025 to 6/15/2026. The findings include: Record review of the CMS system 'HHA Error Summary by Agency'…

The home health agency failed to follow infection prevention standards during home visits with 2 of 3 Sample Patients (SP), SP #1 and SP #3. The findings include: The surveyor conducted a home visit on 6/17/2026 to observe Staff A providing care to SP #3. The surveyor observed Staff A place a new…

The home health agency is unable to demonstrate a completed discharge summary for 6 out of 7 Sampled Patients (SP).

The Home Health Agency (HHA) failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually (E0004).

The provider failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop an emergency preparedness plan that addresses patient/client population, and continuity of operations.

The provider failed to develop an emergency preparedness plan that include a 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, including…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to ensure its emergency preparedness plan addressed when and how information is communicated to emergency officials and to include the clinical care needed for patients.

The provider failed to ensure their emergency preparedness plan included timelines for transferring patients or under what conditions patients would need to move, the procedures to follow up with on-duty staff and patients, and procedures on how the home health agency will inform State and local…

The provider failed to develop emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures that must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and…

The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include method for sharing information and medical documentation for patients under the [facility's] care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to develop and maintain an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provider failed to conduct initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role; provide emergency preparedness training at least annually; maintain…

The provider failed to participate in a full-scale exercise that is community-based and/or an individual facility-based exercise; failed to conduct additional exercise and failed to analyze the [facility's] response to and maintain documentation of all drills, tabletop exercises, and emergency…

The home health failed to provide the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 5 out 7 Sampled Patient (SP).

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: Agency on Aging, center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The provider failed to include in the individualized plan of care the following: A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and Information related to any advanced directives…

The provider failed to document the orders in the patient's clinical record, and sign, date, and time the orders in 1 out of 7 Sampled Patients (SP).

The home health agency staff failed to follow current clinical practice guidelines and accepted professional standards of practice for 1 out of 3 Sampled Patients (SP) with home visits done.