Valley Health Home Health

The agency failed to document individualized emergency preparedness plans as part of the comprehensive assessment for two (2) of seventeen (17) medical records reviewed in the survey sample.

The agency's emergency's preparedness policy and procedure manual failed to include the procedures to follow up with on-duty staff and patients.

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

The agency failed to include the names and contact information for the following in the Communication Plan section of their Emergency Preparedness Plan: Staff, Entities providing services under arrangement/contract, patient's physicians, volunteers if applicable, and/or other agencies.

The home health agency's staff failed to update the patient's comprehensive assessment for a transfer to an inpatient facility in one (1) of seventeen (17) medical records in the survey sample and one (1) of one (1) medical record's in the survey sample with a documented Resumption of Care post…

The agency failed to ensure that care followed the written plans of care and physician's orders for four (4) of seventeen (17) patients in the survey sample (patients #2, 5, 8 and 10).

The agency failed to ensure the physician was notified and orders were obtained prior to altering the plan of care for four (4) of seventeen (17) patients in the survey sample (patients #2, 5, 14 and 15).

Agency staff failed to follow infection control guidelines when performing wound care for one (1) of seven (7) patients that were observed during home visits and in the survey sample (patient #15).

The agency failed to provide evidence of the agency informing patients in writing within four business days of the initial evaluation visit of the agency's transfer policy for seven (7) of seven (7) home visit patients and the review of their admission folders (in their homes) and medical records…

The agency failed to ensure the patient's medication profiles contained a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions…

The agency failed to integrate services to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines for two (2) of seventeen (17) patients in the survey sample (patients #8 and 15).

The agency failed to send the patient's transfer summary within 2 business days of becoming aware of an unplanned transfer for two (2) of two (2) patients who required a transfer, were admitted on or after 01/13/2018 and were in the survey sample.