We Care Home Health, Inc

The Agency failed to ensure the Emergency Preparedness Plan was based on a facility and community risk assessment, utilizing an all-hazards approach.

The Agency failed to have a communication plan that included the required names and contact information.

The Agency failed to provide staff training of Emergency Preparedness Plan.

The Agency failed to ensure that the Agency conducted / participated in a full-scale Community Based Exercise or any testing to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

In 114 of 335 assessments submitted for the last 12 months, the Agency failed to submit reports timely.

The Agency failed to ensure the clinical records were complete and/or accurate.

The Agency failed to ensure Pts. consented for treatment, and/or informed of the services to be provided in writing, and the frequency of visits by each discipline.

The Agency failed to document the patient’s complaint.

The Agency failed to obtain a referral to initiate service or initiate service within 48 hours of receipt of the referral.

The Agency failed to ensure the POC contained accurate and/or complete interventions.

The Agency failed to ensure staff provided service as ordered by the Physician.

The Agency failed to complete an assessment for Pt.

The Agency failed to ensure the recertification POC was reviewed by the Physician, as evidenced by the signature.

The Agency failed to notify physician of change in patient condition.

The Agency failed to provide the Pt. information regarding the Director of Nursing/Clinical Manager.

The Agency failed to ensure the RN conduct home health aide supervision every 14 days.

The Agency failed to ensure an alternate for the Director of Nursing/Clinical Manager was available during working hours of the Agency.

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

The Agency failed to review and update its Emergency Preparedness Plan and policies biannually.

The Agency failed to ensure the Emergency Plan was based on a risk assessment.

The Agency failed to review and update the Communication Plan biannually.

The Agency failed to ensure the Communication Plan was complete.

The Agency failed to comply with its own policy for sharing Pt. information, in the event of an emergency.

The Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

The Agency failed to develop policies and procedures for tracking the COVID-19 vaccination status of direct care staff as outlined in CDC guidelines.

The Agency failed to inform and provide information regarding the Administrator.

The Agency failed to inform Pts. of the disciplines that will provide care and the frequency of visits.

The Agency failed to ensure complete information regarding the State Hotline was provided to Pts.

The Agency failed to obtain a referral to provide care and/or services.

The Agency failed to ensure the RN update and revise the comprehensive assessment within the last 5 days of the 60 Day certification period.

The Agency failed to develop a recertification POC for every 60 days, beginning with the SOC.

The Agency failed to inform and provide information regarding the Clinical Manager.

The Agency failed to ensure Pts. received services as ordered by the physician, and in accordance with the POC.

The Agency failed to ensure the Physician was sent a copy of the Discharge Summary.

The Agency failed to establish an Infection Prevention Control and Infection Control Surveillance Programs/Plans relative to COVID-19. This has the potential to affect all services provided by the Agency.

The Agency failed to ensure patients receive infection control/prevention education relative to COVID-19. This has the potential to affect all patients receiving Home Health care services.