Deficiency Index

Every finding on record at Continucare Home Health Inc

San Antonio, Texas · CCN 677515

3 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of November 19, 2021

3 findings
E0000

Purpose of Visit: Re-certification and Re-licensure Survey. Entrance conference: 11/15/2021 at 10:20 a.m., with the Alternate Administrator. Agency Census: Licensed and Certified (L&C)-46 Licensed Home Health (LHH)-10 Personal Assistance Services (PAS)-91 Exit conference: 11/19/2021 at 3:19 p.m., with the Alternate Administrator, Director of Nursing, Assistant Director of Nursing and Administrative Assistant. The preliminary findings were discussed, and the agency was afforded the opportunity to provide additional information. The agency was in substantial compliance with 42 CFR Part 484.22, Emergency Preparedness Requirements for Home Health Agencies.

G0000

Purpose of Visit: Re-certification and Re-licensure Survey. Entrance conference: 11/15/2021 at 10:20 a.m., with the Alternate Administrator. Agency Census: Licensed and Certified (L&C)-46 Licensed Home Health (LHH)-10 Personal Assistance Services (PAS)-91 Exit conference: 11/19/2021 at 3:19 p.m., with the Alternate Administrator, Director of Nursing, Assistant Director of Nursing and Administrative Assistant. The preliminary findings were discussed, and the agency was afforded the opportunity to provide additional information. Written instructions were provided for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies. Abbreviations: COVID-19= Novel Coronavirus Disease of 2019

G0684

Infection control CFR(s): 484.70(b)(1)(2) Standard: Control. The HHA must maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that is an integral part of the HHA's quality assessment and performance improvement (QAPI) program. The infection control program must include: (1) A method for identifying infectious and communicable disease problems; and (2) A plan for the appropriate actions that are expected to result in improvement and disease prevention. This STANDARD is not met as evidenced by: Based on record review and interview the agency failed to enforce a written policy addressing infection control including the prevention of and the spread of infectious and communicable disease. The agency failed to update its infection control policy and program to include the COVID-19 Pandemic. The failure placed the agency's clients at risk of contracting and spreading communicable diseases, specifically COVID-19. The Findings Included: During the entrance conference on 11/15/2021 at approximately 10:20 a.m., the surveyor requested all agency infection control logs/documents/reports/binders. Review of the infection control binder did not show that the agency had updated its infection control program, policy and procedure, in 2020, to prevent the spread of COVID-19 among its clients and staff. During an interview on 11/19/2021 at 11:58 p.m., with the Administrator, the surveyor discussed the above findings and the Alternate Administrator stated that he had provided all available infection control information. Review of agency policy titled "Infection Control" revised 060713 revealed that it did not include procedures for the prevention and control of spread of COVID-19.

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Federal survey findings only. State licensure findings for home health agencies are not shown.

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