Southern Star Home Healthcare, Inc

The agency failed to ensure the emergency preparedness P&P and plan included procedures to inform the state and local emergency officials about the patients in need of evacuation from their residences due to an emergency situation.

The agency failed to ensure the emergency preparedness communication plan included the updated name and contact information of the patients' physician, and volunteers.

The agency failed to ensure initial training on the emergency preparedness program was provided to the volunteers and contracted individuals providing the services under the arrangement; and documentation of all the emergency preparedness training was maintained.

The agency failed to ensure the care and services were provided as ordered for two of 11 sampled patients (Patients 2 and 6), creating the risk of not providing appropriate, consistent, and quality of care to these patients.

The HHA failed to ensure the entries on the clinical record included the credential of the staff who completed the documents for eleven of eleven sampled patients (Patients 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11) creating the risk of not having the complete and accurate information.

The agency failed to provide the contact information for the State toll-free hot line, agency's contact information, and agency's hours of operation for seven of 11 sampled patients (Patient 1, 2, 4, 6, 7, 8, and 10), creating the risk of delayed complaint notification.

The agency failed to ensure the RN conducted the initial assessment visit within 48 hours of the referral for one of 11 sampled patients (Patient 1), creating the risk of not identifying and addressing the care needs in a timely manner for this patient.

The agency failed to ensure the initial comprehensive assessment was completed accurately and consistently with the patient's immediate needs for one of 11 sampled patients (Patients 1).

The agency failed to ensure the medication profiles were updated to reflect the current medications for two of 11 sampled patients (Patients 3 and 5).

The agency failed to provide the written instructions on the SN visit schedule for three of eleven sampled patients (Patients 3, 4, and 5), creating the risk of not providing the necessary information to these patients.

The agency failed to ensure the SN provided care and services in accordance with the POCs for seven of 11 sampled patients (Patients 1, 2, 3, 4, 7, 10, and 11), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled staff prepared accurate and complete clinical notes for three of eleven sampled patients (Patients 1, 5, and 11).

The agency failed to ensure the responsibility for the day-to-day operations by not implementing the agency's P&P as evidenced by: * The agency failed to ensure the written agreements for four of the five contractors (Contractors 1, 3 , 4, and 5) included the required elements in the contracts as…

The HHA failed to send the discharge and transfer summaries for six of eleven sampled patients (Patients 6, 7, 8, 9, 10, and 11) to their primary care physicians.