Every finding on record at All Metro Health Care

During the Health Recertification survey conducted on 02/15/2021 through 02/17/2021 at All Metro Health Care, a Home Health Agency, Emergency Preparedness was reviewed. All Metro Health Care is not in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.102, Condition of Participation for Home Health Agencies.

Develop EP Plan, Review and Update Annually CFR(s): 484.102(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 record review and interview, the Home Health Agency failed to update their Comprehensive Emergency Management Plan (CEMP) every 2 years and submit and obtain approval of their CEMP from the Department of Health. The findings included: Upon request for the Comprehensive Emergency Management Plan and evidence of CEMP approval from the Department of Health, the Director of Clinical Services provided a CEMP dated 2018 with the Home Health Agency's prior address as well as documentation of an "E-Mail," dated 08/21/18 that acknowledged receipt of the 2018 Comprehensive Emergency Management Plan on 08/20/18. During an interview with the Director of Clinical Services on 02/15/21 at 1:41 PM, she stated that their CEMP had not been submitted to the Department of Health since 2018 or revised since 2018. Further review reveals the Home Health Agency moved to its current location in 2019 with documentation of the Home Health Agency's address change that was submitted to the Agency for Health Care Administration, dated 09/16/19. On 02/15/21 at 2:29 PM, a revised CEMP was provided with handwritten changes to the Home Health Agency's address and staff listed in the chain of command, as well as documentation of a forwarded "E-Mail, dated 02/15/21 at 1:45 PM, acknowledging submission of the CEMP to the Department of Health and that the Department of Health has 90 days to complete the CEMP review.

An unannounced Recertification survey was conducted on 02/15/2021 through 02/17/2021 at All Metro Health Care, Home Health Agency provider, located at 5300 NW 33rd Ave Ste 119, Ft Lauderdale, FL 33309. The provider was in compliance with 42 CFR Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.