Triple C Home Health Care

The Agency failed to develop and maintain an emergency preparedness plan based on an all-hazard approach and updated annually.

The Agency failed to develop and implement an emergency preparedness plan, which included a system of medical documentation to preserve patient information, protect confidentiality, secure and maintains availability of records.

The Agency failed to develop and implement an emergency preparedness plan, that included emergency staffing strategies, a process for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The Agency failed to update names and contact information for current staff.

The Agency failed to develop and implement an emergency preparedness plan, which included a method for sharing information and medical documentation for patients under Agency care, with other health providers to maintain the continuity of care and provide information about the general condition and…

The Agency failed to develop and implement an emergency preparedness plan, that included a communication plan which was able to provide information about the Agency needs and ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The Agency failed to develop and implement an emergency preparedness plan, which included a Training program to provide: 1) Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent…

The Agency failed to develop and implement an emergency preparedness plan, which included testing and conducting exercises using the emergency plan, including unannounced staff drills using the emergency procedures, participating in a full-scale community based drill and one additional exercise…

The agency failed to follow physician orders when providing services for 5 of 7 sampled patients (Patient #1, #2, #3, #4 and #7).

The agency failed to establish and initiate a performance improvement project.

The Agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that was an integral part of the quality assessment and performance improvement (QAPI) program in 4 of 4 Investigation…

The agency's Director of Nursing failed to document nursing skill competencies for a Licensed Practical Nurse.

The Agency failed to ensure the individualized plan of care contained Patient-specific interventions, measurable outcomes and goal related to the provision of Advance Directive education for 4 of 4 sampled patients (Patient #1, #2, #3 and #4) and 1 unsampled patient (Patient #8).

The agency failed to administer services only as ordered by a physician for 1 of 7 sampled patients (Patient #5).

The agency failed to provide therapy services ordered by the physician as indicated in the plan of care in 3 of 7 sampled patients (Patient #1, #2, and #7) and failed to provide services only as ordered in the plan of care for 1 of 7 sampled patients (Patient #5).

The agency failed to ensure the physician was notified regarding; Advance Directive contents for 1 of 4 sampled patients (Patient #2); therapy services not provided for 3 of 7 sampled patients (Patient #1, #2 and #7); missed visits for 6 of 7 sampled patients (Patient #1, #2, #3, #4, #6 and #7).

The agency failed to ensure the Registered Nurse documented Home Health Aide supervisory visits every 14 days for 1 of 3 sampled patients (Patient #4).