Ultimate Home Health Care, Inc

The Agency failed to ensure that the Emergency Preparedness plan was tested and /or activated as required.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Administrator. . Findings include: 1. The Agency's Pt. admission folder was reviewed on 04/28/25. The folder lacked the Administrator’s name…

In 7 of 7 (Pts. # 1, 2, 3, 4, 5, 6 and 7), clinical records reviewed, the Agency failed to ensure Pts. were assessed for the status of Influenza and Pneumonia vaccination per Agency policy.

In 2 of 2 (Pts. #6 and 7) discharged records reviewed, the Agency failed to ensure a discharge summary was sent to the Physician.

The Agency failed to develop and maintain an emergency communication Plan that included the required names and contact information.

The Agency failed to ensure documentation of forms were complete and accurate.

The Agency failed to ensure informed consents contained the disciplines that will provide care and the frequency of visits.

The Agency failed to assess Patients' Influenza and/or Pneumococcal pneumonia vaccination status as required by the Agency policy.

The Agency failed to ensure a pre-designated Alternate Administrator was in place during the Administrator’s absence.

The Agency failed to ensure Pts. received an individualized Emergency Preparedness Plan, in the event of an emergency or disaster.

The Agency failed to establish a policy and plan relative to the use of volunteers during an emergency.

The Agency failed to establish a plan relative to the use of an alternate form of communication during an emergency or disaster.

The Agency failed to document a complaint and resolution.

The Agency failed to ensure the initial assessment visit was conducted within 48 hours of the referral date and/or inpatient discharge date.

The Agency failed to ensure the Pt. receive an accurate and specific POC containing the medications the Pt./patient's representative administer.