Sunshine Home Healthcare, LLC

The agency staff failed to follow infection control guidelines when performing wound care for one (1) of one (1) wound care observed during home visits (clinical record#1).

The agency failed to ensure all services and treatments were administered only as ordered by a physician in one (1) of nine (9) clinical records reviewed in the survey sample (clinical record # 1).

The agency failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit for three (3) of three (3) discharged patients in the survey sample (clinical record #3, 7, and 8) The findings were: The…

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

The agency failed to develop and maintain an emergency preparedness plan (EPP) that included 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…

The agency's emergency's preparedness policy and procedures failed to include procedures to inform State and local emergency preparedness officials about home health patients in need of evacuation from their residences.

The agency's emergency's preparedness policy and procedures failed to include the procedures to follow up with on-duty staff and patients.

The agency's emergency's preparedness policy and procedures failed to include a policy for medical documents.

The agency's emergency preparedness policies and procedures failed to include a policy and procedure for the use of volunteers in an emergency or other professionals for emergency staffing needs.

The agency failed to include the names and contact information for the following in their emergency preparedness communication plan: (1) Staff.

The agency's emergency preparedness policies and procedures failed to contain a current communication plan that included contact information for federal, state, tribal, regional and local emergency preparedness (EP) staff.

The agency failed in their Emergency Preparedness Plan (EPP) their primary and alternate means for communicating with their staff and Federal, State, tribal, regional, and local emergency management agencies.

The agency's emergency's preparedness policy (EPP) failed to include methods for sharing medical documentation for patients with other health providers to maintain continuity of care.

The agency failed to provide training in the emergency preparedness plan (EPP) that is consistent with their roles in an emergency to all new and existing staff, individuals providing services under arrangement, and volunteers.

The agency failed to provide initial and ongoing training to staff, provide training at least annually, demonstrate staff knowledge and maintain documentation of all emergency preparedness training.

The agency's Emergency Preparedness Plan (EPP) failed to contain documentation of the agency participating in a facility- based or community-based exercise to test the agency's EPP.

The agency staff failed to follow physicians orders for one (3) of three (3) patients in the survey sample receiving wound care (patient #5).

The agency failed to ensure accepted standards of practice were followed to prevent the transmission of infections and communicable diseases including the use of standard precautions in one (1) of three (3) patients with wounds in the survey sample, patient #5. The findings were: Three (3) clinical…

The agency failed to ensure home health aides received at least 12 hours of in-service training during each 12 month period in one (1) of one (1) applicable personnel files reviewed.

The agency staff failed to ensure all patients received services as outlined in the plan of care for one (1) of nine (9) patients in the survey sample (patient #9).

The agency failed to provide a Home Health Change of Care Notice (HHCCN) to Medicare patients in advance of reducing/discontinuing services for one (1) of one (1) clinical records reviewed in the survey sample for which a HHCCN was applicable (Patient record: #8) The findings were: Clinical records…

The agency staff failed to ensure plans of care contained patient stated goals for nine (9) of nine (9) patients in the survey sample (patients #1-9).