Every finding on record at Progressive Hospice LLC

Based on review of the agency's Emergency Preparedness Plan and staff interview, the agency failed to update its emergency preparedness plan at least every two years. The census was 57. Findings include: The agency's Emergency Preparedness Plan revealed the plan was reviewed on 09/2017 and 01/02/22. The agency did not provide evidence of additional reviews. Interview on 04/07/22 at 10:57 AM Staff A confirmed the plan was not reviewed every two years.

Based on review of the agency's Emergency Preparedness Plan/binder, policy review and staff interview, the agency failed to conduct exercises to test the emergency plan at least annually. The agency census was 57. Findings include: Review of the agency's Emergency Preparedness Plan/binder revealed no documentation/evidence of exercises being conducted by the agency. Review of the agency policy titled "Testing Program for Emergency Operations Plan (EOP)," revised 02/2021, revealed Hospice will ensure that the Emergency Operations Plan (EOP) is functional through testing and evaluation. Hospice will conduct exercises to test the EOP at least biennially. Hospice will do the following: Participate in a full-scale exercise that is community-based or when a community-based exercise is not accessible, an individual, facility-based exercise. If Hospice experiences an actual natural or man-made emergency that requires activation of the EOP, Hospice is exempt from engaging in a community-based or individual, facility-based full-scale exercise for one (1) year following the onset of the actual event. Conduct an additional exercise that may include, but is not limited to the following: A second full-scale exercise that is community-based or individual, facility-based or a tabletop exercise. Interview on 04/07/22 at 10:47 AM, Staff A confirmed the agency did not have any documented exercises to test the emergency plan.