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Compliance

Serenity Compliance Statement

Committed to Ethics, Accountability, and Quality of Care

At Serenity, we uphold the highest standards of ethics, integrity, professionalism, and regulatory compliance. Our commitment extends to every part of our organization—our leadership team, employees, contracted clinicians, caregivers, and all third-party partners.

Serenity’s Compliance Program is built to align with industry best practices, including guidance from the U.S. Office of Inspector General (OIG). Our program strengthens trust, supports transparency, and ensures that the individuals and communities we serve receive care and services delivered with respect, dignity, and full legal compliance.

Our Compliance Framework

Serenity maintains a comprehensive Ethics, Compliance, and Privacy Program that reinforces accountability at every level of the organization. Our compliance structure promotes open communication between leadership, team members, clients, and partners.

Our program includes the foundational elements recommended by the OIG, including:

  1. Clear written policies and procedures that guide ethical behavior and regulatory adherence

  2. Dedicated compliance leadership and oversight to ensure continuous monitoring

  3. Education and training for all employees and contractors on compliance responsibilities

  4. Accessible communication channels for reporting questions or concerns

  5. Consistent enforcement of standards, including disciplinary actions when necessary

  6. Ongoing risk assessment, auditing, and monitoring of processes and practices

  7. Timely response and corrective action when concerns or violations are identified

These principles help maintain a safe, lawful, and ethical environment throughout Serenity’s operations.

Privacy & Information Security

Serenity is committed to protecting the confidentiality and security of personal information, including any sensitive records entrusted to us by clients, caregivers, and employees. While Serenity does not typically collect Protected Health Information (PHI) through its public website, any client-related information obtained during service delivery is protected in accordance with applicable privacy regulations.

Our standards include:

  • Sharing information only with individuals who are authorized and have a legitimate need to know

  • Ensuring only the minimum necessary information is disclosed when appropriate

  • Protecting both electronic and paper-based records from unauthorized access

  • Prohibiting employees and contractors from sharing passwords or login details

  • Requiring users to log out of systems when not in use

  • Strong safeguards against phishing attempts and suspicious emails

  • Following privacy, security, and confidentiality rules across all service settings

Any suspected privacy breach or unauthorized access must be reported immediately to Serenity leadership or the designated compliance contact.

Commitment to Ethical Conduct

Every Serenity team member is expected to uphold the organization’s ethical standards, including:

  • Honest and transparent communication

  • Respectful, dignified treatment of all clients and staff

  • Proper handling of confidential and operational information

  • Full compliance with federal, state, and Medicaid program requirements

  • Zero tolerance for fraud, waste, or abuse

Serenity encourages a culture where concerns can be reported without fear of retaliation.

Reporting Concerns

Serenity provides confidential channels for reporting compliance concerns, suspected violations, or ethical questions. Reports may be made to:

  • A supervisor or branch manager

  • The Serenity Compliance Office

  • A designated, confidential reporting email

  • An optional anonymous reporting line

Serenity reviews all reports promptly and takes appropriate corrective action when needed.

Quality and Client Safety

As a home care and healthcare staffing organization, Serenity prioritizes:

  • High-quality service delivery

  • Safety for clients and caregivers

  • Continuous performance improvement

  • Regular evaluation of processes and outcomes

Our approach ensures that clients receive dependable, compassionate care in the safest possible environment.

Compliance Resources

Serenity offers ongoing support through:

  • Compliance training modules

  • Updated internal policies and guidelines

  • Tools for reporting questions or concerns

  • Periodic compliance and privacy updates

  • Leadership oversight and dedicated compliance staff

These resources help maintain a strong ethical culture and reinforce Serenity’s commitment to doing what is right.

Other companies, Includes these;

  • A Code of Ethical Standards
  • An Anonymous Reporting / Ethics Hotline text
  • A Quality & Patient Safety page
  • A Compliance footer summary
  • A full Corporate Compliance Program document for internal use

Code of Ethical Standards

At Serenity, ethical behavior is the foundation of every service we provide. Our Code of Ethical Standards guides how we treat our clients, our colleagues, and our partners.

Respect & Dignity

We honor the rights, beliefs, and cultural differences of every individual. We treat all clients and staff members with dignity and professionalism at all times.

Integrity & Honesty

We act truthfully in all business dealings. We do not tolerate fraud, misrepresentation, or deceptive practices in any form.

Confidentiality

We safeguard all personal, client, and business information. Sensitive information is shared only with authorized individuals who have a legitimate need to know.

Compliance With Laws

All Serenity employees and contractors must comply with federal, state, and Medicaid regulations, along with any policies specific to the states where we operate.

Responsibility & Accountability

We take ownership of our actions and decisions. Mistakes are acknowledged, corrected, and used to improve future performance.

Professional Conduct

We maintain appropriate boundaries, communicate respectfully, and perform our duties safely, competently, and ethically.

Zero Tolerance for Abuse or Misconduct

Serenity strictly prohibits neglect, exploitation, discrimination, harassment, and any form of abuse toward clients or staff.

2. Anonymous Reporting / Ethics Hotline Language

We encourage employees, contractors, and partners to speak up if something does not feel right.

Reporting Concerns

Any concerns about unethical behavior, policy violations, privacy issues, or safety risks should be reported immediately.

Reports can be made:

  • To a Supervisor or Manager

  • Directly to the Serenity Compliance Office

  • Through our contact email: contact@serenityhhc.com

Confidential & Non-Retaliatory

Serenity strictly prohibits retaliation against any individual who raises a concern in good faith.
All reports are reviewed promptly, fairly, and with discretion.

Examples of Issues to Report

  • Fraud, waste, or abuse (including Medicaid-related concerns)

  • Privacy or confidentiality violations

  • Misuse of company systems or records

  • Safety risks affecting clients or staff

  • Unethical or illegal behavior

  • Conflicts of interest

  • Identity theft concerns

Quality & Client Safety Statement

Serenity Quality & Client Safety Commitment

Quality of care and client safety are central pillars of Serenity’s mission.

Safety First Approach

We maintain protocols that protect the wellbeing of clients, caregivers, and nurses. All staff are trained in safety procedures, reporting requirements, and emergency response standards.

Continuous Quality Improvement

Serenity evaluates the effectiveness of our services through:

  • Performance reviews

  • Client feedback

  • Incident reporting

  • Compliance audits

  • Service-level monitoring

  • Staff competency assessments

Findings are used to refine training, strengthen processes, and enhance service quality.

Skilled and Trusted Professionals

All Serenity caregivers, CNAs, HHAs, nurses, and support staff meet state-specific requirements and undergo:

  • Credential verification

  • Background screening

  • Ongoing competency evaluations

  • Required continuing education

Client-Centered Care

We deliver services with compassion and professionalism, ensuring clients receive personalized support that respects their needs and independence.

Safe Handling of Records

Client intake forms, clinical documents, and sensitive records are:

  • Stored securely

  • Accessed only by authorized personnel

  • Used strictly for treatment, service coordination, or operational purposes

Serenity is committed to maintaining a culture of ethics, compliance, and privacy. We uphold industry standards, follow all applicable laws, and protect the confidentiality and safety of our clients and staff. To report a concern, please contact our Compliance Office or use our confidential reporting channel.

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