Trans-Care Home Health LLC

The agency failed to document completion of a facility-based risk assessment utilizing an all hazards approach.

The agency's Emergency Preparedness Plan failed to address the agency's patient population and the type(s) of services the agency has the ability to provide in the event of an emergency.

The agency failed to develop and implement emergency preparedness policies and procedures in regards to their process for ensuring cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to ensure an integrated response during a…

The agency failed to put in place procedures to address contacting state and local officials about homebound patients and the need for evacuation from their residence during an emergency.

The agency failed to put in place procedures to follow up with on-duty staff and patients to determine services that are needed.

The agency's emergency's preparedness plan (EPP) failed to include a policy and procedure for medical documentation in the event of an emergency.

The agency's emergency's preparedness plan (EPP) failed to include a policy and procedure for the use of volunteers in an emergency or for emergency staffing needs.

The agency failed to ensure the Emergency Preparedness Plan (EPP) contained a communication plan that was updated at least annually.

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

The agency failed to implement a training and testing program that was updated annually.

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 failed to ensure the patients risk for emergency department visits and hospital re-admission for two (2) of two (2) patients in the survey sample admitted/recertified on or after 01/13/2018 (patient #1 and 2).