Every finding on record at Healthcare Corporation of America Inc

A re-licensure, re-certification survey was conducted on 2/9/2024. The census was License and Certified: 0, Licensed Home Health Services: 0.

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), §485.542(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 reviews and interviews, The agency failed to develop establish and maintain a comprehensive emergency preparedness program for 2 of 2 years reviewed (2022 and 2023). This failure could cause lack of communication amongst agency personnel in the event of an emergency, and lead to poor patient outcomes. An interview was conducted with the agency's Alternate Administrator on 2/9/24 at approximately 12:08 p.m. The surveyor requested the agency's Emergency Preparedness program. On 2/9/24 at approximately 1:00 p.m. the Alternate Administrator gave the surveyor a manilla folder containing the agency's Emergency Preparedness Plan that was printed from their policies and procedures. An interview was conducted with the Alternate Administrator on 2/13/24 at approximately 9:35 a.m. The surveyor inquired why the manila. folder only contained the Emergency Preparedness policy and if there actually was an Emergency Preparedness program and plan. The Alternate Administrator stated, "...No..." The surveyor inquired as to why there was no Emergency Preparedness program. The Alternate Administrator stated, "...Since we haven't taken any patients yet...but I do need to work on it. We haven't formalized everything. We need to bring on more staff..." The surveyor inquired as to whose responsibility was it to have an Emergency Preparedness plan. The Alternate Administrator stated "...It falls on me..." Review of the agency's policy titled, "Emergency Preparedness and Response Plan EC.40 Page 2 of 19" , read, in part, "...Policy I. The Agency will establish and maintain an emergency preparedness program that must include but not be limited to, an emergency plan, policies and procedures, communication plan, and the testing and training program. II. The Agency will have a written Emergency Preparedness and Response Plan that comprehensively describes identification of potential disasters, including infectious diseases and its approach to a disaster that could affect the need for its services or its ability to provide those services..."

A re-licensure, re-certification survey was conducted on 2/9/2024. The census was License and Certified: 0, Licensed Home Health Services: 0.