Fort Madison Community Hospital

The agency failed to ensure registered nurses provided individualized and specific written patient care instructions to agency home health aides for 4 of 6 sampled patients receiving home health aide services (Patients #1, #2, #3 and #5).

The agency failed to complete a drug regimen review, including all required components, with each comprehensive assessment for 6 of 7 sampled patients (Patients #1, #2, #3, #4, #5 and #6).

The agency failed to update the Plan of Care with all new physician orders for 2 of 2 sampled patients with interim physician orders.

The agency failed to ensure the patient's clinical record included accurate and complete documentation of interventions provided for 3 of 7 sampled patients (Patients #1, #2 and #7).

The clinical record lacked a copy of the emergency preparedness plan the agency nurse provided to the patient at the start of care.

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice for staff observed during a home visit with medication set up for 1 of 1 patients (Patient #1).

The agency failed to assure clinicians followed agency policies and procedures when providing wound care to agency patients for 3 of 4 sampled patients who required wound assessments after the initial comprehensive assessment (Patients #1, #6 and #10).

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 5 of 10 sampled patients (Patients #3, #5, #6, #7 and #9).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/ or failed to ensure the Plan of Care contained current, accurate information for 4 of 10 sampled patients (Patients #1, #2, #3 and #9).

The agency failed to update the Plan of Care with new physician orders for 1 of 11 sampled patients.

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 3 of 10 sampled patients (Patients #1, #4 and #9).

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for and/or complete and send a discharge…