Every finding on record at Kindred at Home

During the recertification and relicesure survey conducted on April 19, 2021 to April 21, 2021 at Kindred at Home, a Home Health Agency, Emergency Preparedness was reviewed. Kindred at Home is not in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

Develop EP Plan, Review and Update Annually CFR(s): 484.102(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 interview and record review the agency failed to comply with applicable the State and local emergency preparedness requirements. Kindred at Home failed to submit requested information and revisions to the county health department within 30 days after written notification. Findings On April 19, 2021 a record review of the Comprehensive Emergency Management Plan (CEMP). A Revision Notice letter from Florida Department of Health to Kindred at Home dated July 13, 2020 was noted. The letter reads Comprehensive Emergency Management Plan (CEMP) does not include Alternate person's Name/Title, work, home and cellphone number and Owners name, address, work, home and cellphone numbers. You have 30 calendar days from receipt of this letter to provide the required and/or submit the necessary revisions. Interview conducted on 4/19/21 at 12:00 PM, with Administrator stated, "the letter was received by a Branch Director that had left agency. When I took over as the new administrator, I had no knowledge of the letter requesting information."

A recertification survey was completed on April 19, 2021 to April 21, 2021 at Kindred at Home. The facility was in compliance with Code of Federal Regulations (CFR) 42 Part 484, Requirements for Home Health Agencies.