Every finding on record at Grace Fongod

Extended Substantial Allegation Survey Substantial Allegation 62526, 97201 and 97353 The following deficiency is based upon the extended substantial allegation investigation for substantial allegation 62526, 97201 and 97353 completed on 04/12/23. Nina's Healthcare Services LLC., 368302 is not in compliance with the requirements found at Home Health Agency 42 CFR Part 484, Subpart B, C.

Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based on review of agency policy, and staff interviews, the agency failed to ensure their infection control policies were being followed by staff. This had the potential to affect all patients. The agency census was 171. Interview by telephone on 04/11/23 at 2:07 PM, Staff C stated she does not wear a mask in the patient’s home. Interview by telephone on 04/11/23 at 2:19 PM, Staff E revealed she did not think she was required to wear a mask on duty. Staff E also stated she did not know she was supposed to self-screen. Interview on 04/12/23 at 8:58 AM, the Clinical Care Coordinator (CCC) revealed she had done an audit of patient records and there were multiple employees not doing their daily health screenings as per the agency policy. CCC revealed there were no staff or patients currently with COVID-19. Review of the undated agency policy titled "Covid: Policy 001" revealed it was an agency policy for all staff to use personal protective equipment (PPE) when providing care. The agency policy further revealed all masks must be surgical or a N-95. The agency policy revealed all employees whether vaccinated or unvaccinated must monitor their temperature daily and/or before providing care.