Deficiency Index

Every finding on record at First Home Care Center Inc.

Mayaguez, Puerto Rico · CCN 407020

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 October 19, 2022

3 findings
E0000

An unannounced Emergency Preparedness Program (EPP) and recertification inspection was conducted by the Puerto Rico State Agency surveyors at the First Home Care Center on October 18, 2022, at 9:10 AM (Event ID: 5DFBC-H1). As a result of findings the facility was found not in compliance with 42 CFR § 484.102 Conditions of Participation for Emergency Preparedness for home health care. During the survey it was identified that facility did not have a Emergency Preparedness Plan. Survey Date: 10/18/2022

E0001

Establishment of the Emergency Program (EP) CFR(s): 484.102 §403.748, §416.54, §418.113, §441.184, §460.84, §482.15, §483.73, §483.475, §484.102, §485.68, §485.625, §485.727, §485.920, §486.360, §491.12 The [facility, except for Transplant Programs] must comply with all applicable Federal, State and local emergency preparedness requirements. The [facility, except for Transplant Programs] must 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: * (Unless otherwise indicated, the general use of the terms "facility" or "facilities" in this Appendix refers to all provider and suppliers addressed in this appendix. This is a generic moniker used in lieu of the specific provider or supplier noted in the regulations. For varying requirements, the specific regulation for that provider/supplier will be noted as well.) *[For hospitals at §482.15:] The hospital must comply with all applicable Federal, State, and local emergency preparedness requirements. The hospital must develop and maintain a comprehensive emergency preparedness program that meets the requirements of this section, utilizing an all-hazards approach. The emergency preparedness program must include, but not be limited to, the following elements: *[For CAHs at §485.625:] The CAH must comply with all applicable Federal, State, and local emergency preparedness requirements. The CAH must develop and maintain a comprehensive emergency preparedness program, utilizing an all-hazards approach. The emergency preparedness program must include, but not be limited to, the following elements: This CONDITION is not met as evidenced by: Based on an Emergency Preparedness (EP) survey and review of the emergency preparedness plan, perform on 10/18/2022 on 9:10 AM, it was determined that the facility failed to develop and maintain an emergency preparedness plan which makes this Condition not Met: 42 CFR §484.102. (Cross Refer Tags - E0004 through E0042) As a result of findings the facility was found not in compliance with 42 CFR § 484.102 Conditions of Participation for Emergency Preparedness for home health care. During the survey it was identified that facility did not have a Emergency Preparedness Plan.

G0000

An unannounced Recertification, COVID-19 Staff Vaccination and Emergency Preparedness Survey was conducted by the Puerto Rico State Agency surveyor at First Home Care Center, Inc., on October 18 through 19, 2022. (Event ID 5DFBC-H1). As results of finding during the Recertification survey the facility is in substantial compliance with 42 CFR §484 the requirements for Home Health Agency (HHA). Survey Date: 10/19/2022 Patient Census: 305 Home Visits: 7 Records Reviewed: 5 Close Record Review: 5 PUI- 0 COVID-19 Positive Cases - 0 Staff PUI- 0 Staff Positive COVID-19- 0 Staff Vaccination - 54/54 (100%)

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

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