Every finding on record at Advantage Home Health Care Inc

An Emergency Preparedness Survey was conducted by the Indiana State Department of Health in accordance with 42 CFR 484.102. Survey Dates: March 1, 2023 Unduplicated skilled census: 580 At this Emergency Preparedness survey, Advantage Home Health Care, Inc., was found to be out of compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 484.102. QR: Area 2, 3/03/23

Names and Contact Information CFR(s): 484.102(c)(1) §403.748(c)(1), §416.54(c)(1), §418.113(c)(1), §441.184(c)(1), §460.84(c)(1), §482.15(c)(1), §483.73(c)(1), §483.475(c)(1), §484.102(c)(1), §485.68(c)(1), §485.542(c)(1), §485.625(c)(1), §485.727(c)(1), §485.920(c)(1), §486.360(c)(1), §491.12(c)(1), §494.62(c)(1). [(c) The [facility must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years [annually for LTC facilities]. The communication plan must include all of the following:] (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [facilities]. (v) Volunteers. *[For Hospitals at §482.15(c) and CAHs at §485.625(c)] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [hospitals and CAHs]. (v) Volunteers. *[For RNHCIs at §403.748(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Next of kin, guardian, or custodian. (iv) Other RNHCIs. (v) Volunteers. *[For ASCs at §416.45(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For Hospices at §418.113(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Hospice employees. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Other hospices. *[For HHAs at §484.102(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For OPOs at §486.360(c):] The communication plan must include all of the following: (2) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Volunteers. (iv) Other OPOs. (v) Transplant and donor hospitals in the OPO's Donation Service Area (DSA). This STANDARD is not met as evidenced by: Based on record review and interview, the home health agency failed to include in their Emergency Plan a communication plan with the names and contact information for all staff members and the names and contact information for the patients’ physicians, potentially affecting all patients and staff. Findings include 1. Policy EP-5 “Agency Emergency Preparedness Plan” indicated but not limited to “…The Administrator, or Alternate Administrator will initiate the team call down procedure…” 2. Review of the agency’s Emergency Preparedness Plan failed to evidence a communication plan with the names and contact information of all staff members or the names and contact information for the patients’ physicians. 3. During an interview on 03/01/2023 at 04:51 PM, the Administrator confirmed the agency’s Emergency Preparedness Plan did not include the names and contact information for all staff members and did not include the names and contact information for the patients’ physicians and indicated that information was located elsewhere in the agency’s computer system.

This visit was for a Federal and State complaint survey of a HHA Provider. Survey Dates: March 1, 2023 Complaint: IN0095996 - unsubstantiated. An unrelated Federal deficiency was cited, and no State deficiencies were cited. 12 Month Unduplicated Census: 580 Advantage Home Health Care, Inc., was found to be in compliance with 42 CFR 484 and with 410 IAC 17 of a home health survey. QR: Area 2, 3/03/23