Family First Homecare of Iowa

The agency failed to keep patients free of injury while providing direct patient care (G430).

The agency failed to ensure the skilled staff promptly alerted the physician to changes that may suggest a need to alter the Plan of Care (G590).

The agency failed to ensure the patient remained free from physical abuse, including injuries of unknown source and neglect for 1 of 4 sampled patients (Patients #1).

The agency failed to ensure completion of all required components of the discharge comprehensive assessments within 2 calendar days of identification of the need to discharge a patient for 1 of 2 sampled patients requiring a discharge comprehensive assessment (Patient #5).

The agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition or that the plan of care should be altered, for 1 of 4 sampled patients (Patient #3) The agency reported a census of 22 patients at the time of the survey.