Angels Care Home Health of Iowa

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan of Care for 6 of 17 sampled patients (Patients #1, #3, #10…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 9 of 17 sampled patients (Patients #1, #2, #3, #4, #5, #7, #11, #13 and #16).

The agency failed to ensure all current physician orders for wound care recorded on the plan of care for 2 of 7 sampled patients with wounds (Patient's #2 and #6).

The agency failed to provide medications, treatments or services only as ordered by the physician for 2 of 17 sampled patients (Patients #1 and #2).

The agency failed to ensure skilled professional staff involved in the patient's plan of care completed an ongoing interdisciplinary wound assessment as required by agency policy and expectation for 2 of 7 sampled patients (Patient #1 and #8) with home observation visits.

The agency failed to ensure the patient's clinical record included accurate and specific documentation of interventions and maintained pertinent current information in the patient record for 5 of 7 sampled patients (Patient #1, #2, #5, #13 and #17) with wounds.

The agency failed to complete and send a transfer summary to physician caring for the patient at an inpatient facility within 2 days of becoming aware of an unplanned transfer and the agency failed to send a completed discharge summary to the primary care provider within 5 business days of the…

The agency failed to complete a drug regimen review within the required time frames as part of each comprehensive assessment and/or failed to include all medications, prescription and over-the-counter, used by the patient at the time of the drug regimen review to identify duplicate medications and…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient for 11 of 17 sampled patients (Patients #1, #3, #4, #5, #6, #7, #8, #9, #10, #14 and #17).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 7 of 17 sampled patients (Patients #4, #8, #10, #12, #14, #16 and #17).

The agency failed to ensure that skilled professionals failed to communicate and coordinate patient care and services with the physician for 8 of 17 sampled patients (Patients #4, #8, #9, #10, #13, #14, #16 and #17).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 4 sampled patients receiving home health aide services…

The agency failed to ensure clinicians followed agency policies and procedures when assessing wounds to agency patients for 2 of 3 sampled patients who required wound assessments (Patients #2 and #4).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 2 of 2 sampled patients with surveyor home visit observation(Patients #1 and #2).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 6 of 6 sampled patients with new verbal/interim orders.

The agency failed to ensure agency staff coordinated the delivery of care in a way to meet patient individualized needs for 1 of 6 sampled patients (Patients #5) receiving agency services.

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 3 of 6 sampled patients (Patients #1 , 2, and #4).

The agency: 1) failed to meet the agency identified personal care needs of patient in the patient's home (G570); 2) failed to follow the physician ordered Plans of Care, notifying the physician of the need to vary from the Plan (G572); and 3) failed to provide medications, treatments and services…

The agency failed to ensure the clinical record included a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment and failed to ensure patient's received a copy of an individualized emergency plan for 4 of 5 sampled patients with a record review which…

The agency failed to follow a Plan of Care established and periodically reviewed by a doctor of medicine, osteopathy or podiatry or notify the physician of the need to vary from the physician ordered Plan for 2 of 13 sampled patients (Patients #7 and #10).

The agency failed to administer treatments and services only as ordered by the physician for 1 of 13 sampled patients (Patient #8).

The home health agency failed to ensure the patient received a visit schedule which included frequency of visits and personnel for 2 of 5 sampled patients (Patients #1 and #2) with home visits.

The agency failed to provide to the patients medication lists that included medication name, dosage, frequency and which medications will be administered by agency personnel for 4 of 5 sampled patients with home visit observations (Patients 1, #2, #3 and # 4).

The agency failed to respect patient's requests in order to meet the patient's needs for 1 of 8 sampled patients (Patient #4).

The agency failed to coordinate services in order to meet the patient's needs for 1 of 8 sampled patients (Patient #4).