Total Care Home Services Inc

The facility failed to show that an emergency preparedness plan was developed (Refer 0004); the facility failed to show that its emergency preparedness plan is based on and include a documented facility-based and community-based risk assessment, utilizing an all hazards approach, contain strategies…

The Home Health Agency (HHA) failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis; and failed to show…

The provider failed to show that an emergency preparedness plan was developed.

The facility failed to show that they developed an emergency preparedness plan that is based on and include a documented facility-based and community-based risk assessment, utilizing an all hazards approach, that include strategies for addressing emergency events identified by the risk assessment.

The provider failed to show that they had developed emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to show that they had developed an emergency preparedness plan that included a communication plan.

The provider failed to provide the patient and representative (if any) of the right to be informed of the Home Health Agency's policies for transfer and discharge on 3 out of 5 Sampled Patient (SP) actively receiving care from the Home Health Agency.

The provider failed to develop an individualized plan of care (POC) that identifies patient-specific measurable outcomes and goals on 6 out of 7 Sampled Patients (SP).

The provider failed to show that 5 out of 5 (A, B, C, D, E) home health aides/Certified nursing assistant completed a competency evaluation program that included an observation of aide's performance of the task before home health aide services were furnished.

The agency failed to ensure that 2 out of 5 ( C, E) staff received at least l2 hours of in-service training during each 12-month period.

The provider failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis; and failed to show that services were…

The home health agency 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 3 out of 5 Sampled Patient (SP) actively receiving care from the Home…

The provider failed to provide written notice of the Home Health Agency's transfer and discharge policies within 4 business days of the initial evaluation visit for 3 out of 5 Sampled Patient (SP) actively receiving care from the Home Health Agency.

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 ensure that a review of all medications the patients are taking on 2 out of 3 Sampled Patients (SP) with home visits made.

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 ensure that a policy on influenza and pneumococcal vaccines were available for review upon request.

The provider failed to provide the name and contact information of the Home Health Agency clinical manager for 3 out of 5 Sampled Patient (SP) actively receiving care from the Home Health Agency.

The home health aide failed to follow the aide plan of care for 1 out of 3 Sampled Patients (SP) with home visits made.

The agency failed to ensure that a registered nurse or other appropriate skilled professional made an annual on-site visit to the location where patients received care in order to observe and assess for 5 out of 5 Staff (A, B, C, D, E).

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA), while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service on 7 out of 7 Sample Patients (SP).

The home health agency staff failed to provide services in accordance with current clinical practice guidelines and accepted professional standards of practice for 2 out of 3 Sampled Patients (SP) with home visits made.

The provider failed to complete a discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge for 2…