Every finding on record at Advanced Home Care of Roswell

On behalf of the Centers for Medicare and Medicaid Services (CMS), an unannounced on-site Recertification survey conducted at Advanced Home Care of Roswell Home Health Agency (HHA) on 07/02/2021 resulted in noncompliance under 42 CFR 484.102 with the following standard-level deficiency cited.

Develop EP Plan, Review and Update Annually CFR(s): 484.102(a) §403.748(a), §416.54(a), §418.113(a), §441.184(a), §460.84(a), §482.15(a), §483.73(a), §483.475(a), §484.102(a), §485.68(a), §485.625(a), §485.727(a), §485.920(a), §486.360(a), §491.12(a), §494.62(a). The [facility] must comply with all applicable Federal, State and local emergency preparedness requirements. The [facility] must develop establish and maintain a comprehensive emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the following elements: (a) Emergency Plan. The [facility] must develop and maintain an emergency preparedness plan that must be [reviewed], and updated at least every 2 years. The plan must do all of the following: * [For hospitals at §482.15 and CAHs at §485.625(a):] Emergency Plan. The [hospital or CAH] must comply with all applicable Federal, State, and local emergency preparedness requirements. The [hospital or CAH] must develop and maintain a comprehensive emergency preparedness program that meets the requirements of this section, utilizing an all-hazards approach. * [For LTC Facilities at §483.73(a):] Emergency Plan. The LTC facility must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. * [For ESRD Facilities at §494.62(a):] Emergency Plan. The ESRD facility must develop and maintain an emergency preparedness plan that must be [evaluated], and updated at least every 2 years. . This STANDARD is not met as evidenced by: Based on interview and record review, the facility failed to develop and maintain an emergency preparedness plan that must be reviewed, and updated. This deficient practice could likely result in the lack of preparedness in case of emergencies that can lead to inappropriate patient treatment. The findings are: A. Record review of facility "Emergency Preparedness Plan" last updated 2/25/2020, reveals: 1. List of Administrators was last updated on 04/20/18 and does not reflect the current administration. 2. Personnel Master Report (list of staff) was last updated 6/20/18 and does not reflect current staff. 3. Patient List not found in this binder. B. On 07/01/21 at 9:00 am during interview, S(Staff)#3 (Facility Administrator) confirmed, "The Emergency Preparedness Binder has not been updated due to change in Administration but will be updated as soon as possible."

On behalf of the Centers for Medicare and Medicaid Services (CMS), an unannounced on-site Recertification survey conducted at Advanced Home Care of Roswell Home Health Agency (HHA) on 07/02/2021 found that your facility was in substantial compliance with the participation requirements under 42 CFR 484, Subpart A through C. A COVID-19 Focused Infection Control Survey was conducted by the New Mexico Department of Health, Division of Health Improvement on 07/02/2021 The facility was found to be in compliance with 42 CFR §484.70 Condition of participation: Infection prevention and control Regulations and Guidelines for Home Health Agencies and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.