Every finding on record at Jrk Services, Inc.

A recertification survey for compliance with 42 CFR Part 483, Subpart G, Subsection 484.102, Emergency Preparedness Requirements for Home Health Agencies, was conducted from 4/5/22 through 4/6/22. Interim Healthcare was found in compliance.

A recertification survey for compliance with 42 CFR Part 484, Subparts B-C, requirements for home health services, was conducted from 4/5/22 through 4/6/22. Interim Healthcare was found not in compliance with the following requirement: G682.

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 interview and policy review, the provider failed to ensure infection control procedures and practices were followed for fit testing of designated staff for use of an N95 mask. Findings include: 1. Interview on 4/6/22 at 9:37 a.m. with director of health care services (DHCS) A regarding staff N-95 mask use revealed: *She had been the person responsible for ensuring staff followed all current infection control recommendations. *Their staff COVID-19 mitigation strategies had consisted of self-monitoring for symptoms prior to each shift, refraining from work if symptomatic, COVID-19 testing if symptomatic, wearing surgical masks, hand sanitization, and equipment sanitization. -N95 masks were worn only if a patient had an active respiratory disease (ex. COVID-19). *She had been the primary nurse for COVID-19 positive patients. -They had several COVID-19 patients in the past, but currently had no known active COVID-19 positive patients. *She: -Had fit tested herself for her N95 mask by forming the mask to her face to create a tight seal. -Had been unaware there was an actual procedure involved in N95 mask fit testing. -Stated none of the staff had been fit tested for N-95 mask use. -Followed corporate policies for guidance. Review of the provider's 6/24/11 Respiratory Protection Program Protocol revealed: *"Employee Training: 1. The DHCS or designee trains designated employees in the use of the particulate respirator and in the Respiratory Protection Program prior to the initial use of the particulate respirator and annually." *"14. The DHCS or designee provides particulate respirator fit testing to designated employees in accordance with the manufacturer's guidelines and OSHA protocols prior to initial use and annually thereafter." *"16. The DHCS or designee maintains documentation of training, fit testing and issuance of particulate respirators on all designated employees." *"21. The Administrator/Manager and DHCS implements and monitors compliance and effectiveness of the Respiratory Protection program." *"Respiratory Protection Administrative: 4. The Administrator/Manager/DHCS or designee identifies a physician or other licensed health care professional to perform the initial [fit testing] medical evaluations using a medical questionnaire or an initial medical examination that obtains the same information as the medical questionnaire..."