County of Bremer

The home health agency failed to ensure the clinical record included a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment for 6 of 7 sampled patients (Patients #1, #2, #3, #4, #5 and #7) with a record review which included a comprehensive…

The agency failed to ensure the development of a procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to have a policy and procedure to notify State and local officials of any on-duty staff or patients the agency was unable to contact.

The agency failed to ensure all contracted employees received training in the agency's emergency preparedness policies and procedures.

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 5 of 7 sampled patients (Patients #1, #2, #3, #4 and #6).

The agency failed to complete a drug regimen review of all the patient's current medications with the completion of each comprehensive assessment for 2 of 3 sampled patients (Patients #1 and #3) with a home visit observation.

The agency failed to ensure accurate completion of all pertinent components of the resumption of care comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 3 sampled patients requiring a Resumption of Care Assessment (Patient #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient to meet his/her needs, an accurate list of the patient's current medications and physician orders for 2 of 3 sampled patients with home visits…

The agency failed to update the Plan of Care with all new physician orders for 6 of 6 sampled patients with interim orders.

The agency failed to provide the patient and caregiver with a copy of written instructions outlining any treatments to be administered by the agency personnel and personnel acting on behalf of the agency, including therapy services, for 3 of 3 sampled patient's with home visits (Patient #1, #2 and…

The agency failed to provide the patient and caregiver with a copy of written instructions outlining any other pertinent instructions related to the patient's care and treatments that the home health agency will provide, specific to the patient's care needs for 3 of 3 sampled patient's with home…

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 4 of 7 sampled patients (Patients #1, #3, #6 and #7).

The agency failed to ensure all interim physician orders were signed by a physician for 2 of 7 sampled patients (Patients #6 and #7).