Angels Care Home Health of Iowa

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all medical supplies/equipment used by the patient for 3 of 5 sampled patients (Patients #1, #2 and #5).

The agency failed to provide complete wound assessments on a weekly basis per agency policy for 2 of 3 sampled patients with wounds (Patient #2 and #3).

The agency failed to ensure comprehensive assessments included the patient's current health, psychosocial, functional, and cognitive status.

The agency: 1) failed to include all required components of the Plan of Care (G574); and 2) failed to provide medications, treatments and services only as ordered by a physician (G580).

The agency failed to ensure accurate and thorough completion of all pertinent components of each comprehensive assessment for 4 of 5 sampled patients with wounds (Patients #1, #2, #4 and #5).

The agency failed to include all required components of the Plan of Care (POC) for 1 of 1 sampled patients with observational home visit (Patient #1).

The agency failed to provide medications, treatments or services as ordered by the physician for 3 of 5 sampled patients with wounds (Patients #2, #4 and #5).

The agency failed to follow a Plan of Care established and periodically reviewed by a physician as ordered on the Plan for Care for 3 of 4 sampled patients (Patients #1, #2, and #3).

The agency failed to provide treatments only as ordered by the physician for 1 of 4 sampled patients (Patient #3).

The agency failed to: 1) provide the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient (Please refer to G410); 2) written notice of the patient's rights and responsibilities under this…

The agency failed to provide the patient and the patient's legal representative the required information during the initial evaluation visit, in advance of furnishing care to the patient for 3 of 7 sampled patients (Patients #1, #5, and #7).

The agency failed to provide written notice of the patient's rights and responsibilities, for 3 of 7 sampled patients (Patients #1, #5, and #7).

The agency failed to obtain the patient's or the patient's legal representative's signature confirming that he or she has received a copy of the notice of rights and responsibilities for 2 of 7 sampled patients (Patients #1 and #5).