Every finding on record at Alliance Home Health Care, LLC

On behalf of the Centers for Medicare and Medicaid Services (CMS), an unannounced on-site Recertification survey conducted at Alliance Home Healthcare, Home Health Agency (HHA) on 09/21/21 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 record review and interview, the facility failed to maintain and update the Emergency Preparedness manual (binder) with a current patient list, a current staff list, and a copy of emerging infectious diseases (EIDs) to include COVID-19 (upper respiratory symptoms.) This deficient practice can delay the ability to offer continued patient care by not knowing which patients are receiving care, contacting currently employed staff, and identifying other emerging infectious diseases in an emergent (unpredictable or unforeseen) situation. The findings are: A. Record review of the Emergency/Disaster Manual, undated, revealed the following: 1. No current copy of a dated Patient list 2. No current copy of a dated Staff list 3. No current copy of Emerging Infectious Diseases (EIDs) includes Highly Communicable Diseases (Ebola, Zika Virus, SARS, or novel COVID-19 or SARS-CoV-2.) B. On 09/21/2021 at 10:15 am during an interview, Staff (S)#1 (Administrator) confirmed there was no current patient list, a current staff list, or a current copy of EIDs in the Emergency Preparedness manual.

On behalf of the Centers for Medicare and Medicaid Services (CMS), an unannounced on-site Recertification survey conducted at Alliance Home Healthcare, Home Health Agency (HHA) on 09/21/21 found that your facility was in substantial compliance with the participation requirements under 42 CFR 484, Subpart A through C.