Every finding on record at Catholic Comm Hospice

Based on interview and document review the Hospice agency failed to develop and maintain an emergency preparedness plan (EPP) that included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation. This deficient practice has the potential to place patients at risk for harm or injury during an emergency situation. --- Findings Include: Review of the agency's emergency preparedness plan on 08/02/23, between the times 10:20 AM and 12:00 PM, revealed there was no documentation for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation. During an interview on 08/02/23, between the times 10:20 AM and 12:00 PM, the executive director stated, he has made phone calls to the local officials, and they did not respond to him, but he did not have any documentation on reaching out to them. He did send an email when I was onsite asking if they would be willing to have a meeting with him, so he could get their input on his EPP.