Every finding on record at County of Harney

An unannounced Federal recertification survey was completed at this agency on 06/14/2024. The agency was surveyed for compliance with 42 CFR Conditions of Participation for Home Health Agencies, Part 484.102 Emergency Preparedness. An entrance conference was held on 06/04/2024 at 9:30 AM with the Administrator. The purpose of the survey and the survey needs were explained. An opportunity was provided for questions, answers, and comments. Definitions and abbreviations: CFR - Code of Federal Regulations

An unannounced Federal recertification survey was completed at this agency on 06/14/2024. The agency was surveyed for compliance with 42 CFR Conditions of Participation for Home Health Agencies, Part 484. An entrance conference was held with the Administrator on 06/04/2024 at 09:30 AM. The purpose of the survey and the survey needs were explained. An opportunity was provided for questions, answers, and comments. Definitions and abbreviations: CFR - Code of Federal Regulations HHA - Home Health Aide

Infection control education CFR(s): 484.70(c) Standard: Education. The HHA must provide infection control education to staff, patients, and caregiver(s). This STANDARD is not met as evidenced by: Based on review of policy, employee record review and interview, the agency lacked evidence of infection control education to employees and contracted providers. Findings: Review of policy titled, "Infection Control Program" dated 06/2009 and last revised/review 03/2020, revealed, "... Ensures that infection control training programs and in-services are provided to employees on a timely basis ... Reviews all written infection control policies, techniques and procedures annually for revisions and/or updates." Review of 18 Employee records reviewed on 06/06/2024 revealed that 18 Employee records lacked training and education records that included infection control training and in-services. During interview with the Administrator on 06/06/2024, beginning at 03:00 PM, they acknowledged the agency did not provide infection control in-services the previous year.

12 hours inservice every 12 months CFR(s): 484.80(d) Standard: In-service training. A home health aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a patient. This STANDARD is not met as evidenced by: Based on interview, review of policy and procedure and review of employee record for 1 hospice aide hired in 2023, it was revealed that the agency failed to ensure that the hospice aide received at least 12 hours of in-service training over a 12-month period. Findings: Review of the policy and procedure titled, "Staff Education," dated 06/2009, and revised/reviewed 05/2022, revealed the following statement, "A schedule of in-service training is developed annually based upon the assessed needs." The document lacked the requirement that hospice aides must receive 12-hours of in-service training each 12-month period. Review of the Hospice Aide's employee file revealed the HHA was hired in 2023. The Employee file lacked documentation that at least l2 hours of in-service training was provided by the agency as required for the previous 12-month period. During an interview with the Administrator on 06/06/2024 beginning at 3:00 PM the findings were presented. They acknowledged the findings.