USA We Care Home Healthcare, Inc

The Agency failed to ensure that the Emergency Preparedness Plan was established based on a risk assessment using an all-hazards approach.

The Agency failed to ensure the Agency conducted the required individual and/or community exercises bi-annually to ensure the effectiveness of the Emergency Preparedness Plan.

The Agency failed to submit 103 of 181 assessments timely, resulting in a warning.

In 2 of 7 (Pts. #2 and 5) clinical records reviewed, the Agency failed to ensure staff provide service/treatment as indicated in the PsOC.

For 5 of 7 (Pts. #1, 5, 6, 7 and 4) clinical records reviewed, the Agency failed to ensure that the RN conducted the initial comprehensive assessment within 48 hours of the referral.

In 2 of 7 (Pts. #2 and 6) clinical records reviewed, the Agency failed to ensure the PsOC, included an accurate list of medications and patient-specific interventions.

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

In 5 of 7 (Pts. # 2, 4, 5, 6, and 7) the Agency failed to provide information regarding the Clinical Manager (Director of Nursing) and their contact information.

For 2 of 7 (Pts. #5 and 3) clinical record reviews, the Agency failed to ensure the information contained in the clinical records were complete and accurate.

The Agency failed to ensure a copy of the discharge summary was sent to the physician for 2 of 2 (Pts. # 6 and 7) discharged patients reviewed.

The Agency failed to ensure the Staff followed the POC.

The Agency failed to ensure the Staff supervised the Occupational Therapy Assistant services.

The Agency failed to ensure the plan included a facility based/community risk assessment.

The Agency failed to conduct the necessary Emergency Preparedness training and testing for 2017 and 2018. Findings include: 1. The Agency's Emergency Preparedness and Safety Plan was reviewed on 04/23/19 at 3:00 PM with the Administrator.

The Agency failed to ensure that the PsOC contained patient specific interventions and treatments.

The Agency failed to provide the services as ordered in the plan of care.

The Aide supervision was not conducted onsite at the patient's home, by the RN every 14 days.