Strong Hold Home Health, Inc.

(E004) Based on record review and staff interview it was determined the facility failed to maintain, update and evaluate the Emergency Preparedness Plan.

(G0644) Based on record review and staff interview it was determined that the facility failed to monitor the effectiveness and safety of services and quality of care, and identify opportunities for improvement.

(G0682) Based on record review, observation and staff interview, it was determined the facility failed to demonstrate proper infection control technique.

The facility failed to maintain, update and evaluate the Emergency Preparedness Plan.

The facility failed to implement policies and procedures in its emergency plan for ensuring all patients have an individualized plan in the event of an emergency.

The facility failed to maintain an emergency preparedness training and testing program that has been documented, reviewed and updated.

The facility failed to provide training on their facility's emergency plan at least every 2 years.

The facility failed to perform testing exercise for the Emergency Preparedness Plan.

The facility failed to notify the patient and representative in the event of a change in patient admission status or that the patient's plan of care should be altered.

The facility failed to provide a signed patient plan of care.

The facility failed to monitor the effectiveness and safety of services and quality of care, and identify opportunities for improvement.

The facility failed to have an ongoing quality management program designed to monitor the effectiveness and safety of services and quality of care, and identify opportunities for improvement.

The facility failed to demonstrate proper infection control technique.

The facility failed to ensure infection control education was provided to staff at periodic intervals consistent with accepted standards of practice.

The facility failed to authenticate signatures.