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The agency failed to maintain documented evidence of the staff’s knowledge of the agency’s emergency preparedness plan.

The agency failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit for four (4) of five (5) closed clinical records reviewed in the survey sample.

The agency failed to provide initial and ongoing training to staff, provide training at least annually, demonstrate staff knowledge and maintain documentation of all emergency preparedness training.

The agency staff failed to ensure home health services were provided according to the patient's individualized plan of care for one (1) out of 17 clinical records reviewed in the survey sample (Clinical record: #13).

The agency failed to provide infection control education to their staff for seven (7) of seven (7) personnel files reviewed for which infection control education was applicable for job specific tasks (Personnel files: #1 - #7).

The Home Health Agency failed to ensure the agency's maintains a current CLIA Waiver.

The agency failed to have written evidence in the clinical record of furnishing patients with and having signed Consents during the initial evaluation visit in advance of care for two (2) of six 17 patients in the survey sample (Clinical records: #1 and #7).

The agency failed to ensure patients were informed at the time of admission of the disciplines that would provide care and the frequency of visits for 17 of 17 patients in the survey sample (Clinical records: #1-#17).

The agency failed to ensure the patient was informed at the time of admission regarding the charges the patient may have to pay for home health services before care is initiated for two (2) of 17 clinical records reviewed (Clinical records: #1 and #7).

The agency failed to ensure the patient's medication profile contained administration routes and 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…

The agency failed to ensure the patient's individualized plan of care included a description of the patient's advance directive and or measurable outcomes and goals and or risk for emergency department visits and hospital re-admissions.

The agency failed to ensure services, and/or treatments were administered only as ordered by a physician for four (4) of 17 clinical records reviewed in the survey sample (Clinical records: #1, #4, #8 and #11) The findings: Seventeen clinical records were reviewed in the agency on 09/18/19 between…

The agency failed to ensure the agency's professional staff promptly alerted the patient's physician to any changes that suggest a need to alter the patient's plan of care for one (1) of 17 clinical records in the survey sample (Clinical record: #10).

The agency failed to document the patient's progress toward outcomes and goals specified in the plans of care for one (1) of 15 clinical records in the survey sample admitted on or after 01/13/2018 (Clinical record: #2).

The agency failed to send the patient's transfer summary and/or a discharge summary to the primary care physician within 5 business days of discharge or within 2 days of transfer for two (2) of two (2) discharged patients and three (3) of three (3) transferred in the survey sample admitted or…