Genesis Vna

The agency : 1) failed to comply and follow through with the policy set by the agency of addressing discharge for cause (G462): 2) failed to advise the patient and health care professional who would be responsible for providing care and services to the patient after discharge from the agency that a…

The agency failed to ensure staff provided care in accordance with accepted infection control standards of practice observed during a home visit for 2 of 7 sampled patients (Patient #1 and #7) with home visits.

The agency failed to document the patient's behaviors and circumstances that warranted patient's discharge for cause and the agency's efforts to resolve the problems prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #17)…

The agency failed to notify the patient prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #17) Failure to provide patients with notification that discharge for cause is being considered denied the patient of the ability to…

The agency failed to initiate any efforts to resolve problems presented by the patient's behavior or a situation prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #17) Failure to attempt to initiate any efforts to resolve…

The agency failed to document any efforts to resolve problems presented by the patient's behavior or a situation prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #17) Failure to document efforts to resolve problems denied the…

The agency failed to complete an accurate drug regimen review with each comprehensive assessment and failed to identify patient specific medication issues for 4 of 17 sampled patients (Patients #3, #4, #11 and #15).

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 2 of 5 sampled patients receiving home health aide services…

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 3 of 5 sampled patients who received hands on personal care services in conjunction with a skilled service provision (Patients #9, #13 &…

The agency failed to complete provide wound assessments on a weekly basis per agency policy for 2 of 4 sampled patients with wounds (Patients #6 and #12).

The agency failed to ensure clinicians followed agency policies and procedures when assessing wounds to agency patients for 2 of 7 sampled patients with wound care.

The agency failed to ensure the agency completed documentation including signature, title and time of entry in a timely manner for 5 of 17 sampled patients (Patients #6, #8, #11, #15 and #17).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 10 of 17 sampled patients (Patients #1, #2, #4, #5, #7, #9, #10, #11, #15 and #16).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 2 of 17 sampled patients.

The agency: 1) failed to ensure the agency skilled staff completed an individualized Plan of Care that contained accurate information (G574); and 2) failed to ensure the agency skilled staff recorded all verbal orders in the working Plan of Care (G576); and 3) failed to provide medications…

The home health agency failed to ensure an individualized emergency plan was developed as part of the comprehensive assessment for 4 of 21 sampled patients (Patients #9, #10, #17 and #18).

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 complete a written policy or procedure to outline the use of emergency staffing strategies which included State and Federally designated health care professionals.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles for directly hired staff in 2017 and 2018. The agency reported a current census of 1233 patients, including 751 patients receiving services from the parent office in Bettendorf…

The agency failed to ensure a registered nurse performed direct observation of home health aide performance of all required basic home health aide (HHA) skills on a home health patient to determine satisfactory competency prior to allowing the home health aide to provide care independently to…

The agency failed to provide an initial assessment visit within 48 hours of receipt of referral from a physician or physician designee, within 48 hours of the of the agency's knowledge of the patient's return home from an inpatient facility or on the physician ordered start of care date for 6 of 21…

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 2 of 4 sampled patients (Patients #1 and #18) with an open wound.

The agency failed to accurately identify all medications taken by the patient with each comprehensive assessment/drug regimen review and/or failed to maintain an accurate list of medications for 5 of 21 sampled patients (Patients #4, #7, #10, #14 and #17).

The agency failed to ensure timely completion of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 7 of 13 sampled patients requiring a recertification assessment (Patient #8, #10, #16, #17, #19, #20 and #21).

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 4 sampled patients requiring a Resumption of Care Assessment (Patient #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 information for 15 of 21 sampled patients (Patients #1, #2, #3, #4, #6, #7, #9, #11, #14, #16, #17, #18, #19, #20 and #21).

The agency failed to update the Plan of Care with all new orders for 2 of 2 sampled patients (Patients #1 and #11) with interim physician non-therapy treatment orders.

The agency failed to administer medications, treatments and services only as ordered by the physician for 5 of 21 sampled patients (Patients #11, #12, #16, #17 and #18).

The agency failed to assure nurses taking verbal orders from a physician documented the orders in the clinical record (signed, dated and timed) sending the orders to the physician for authentication, including signature and date of signature for 2 of 21 sampled patients (Patients #5 and #11).

Agency professional staff failed to promptly report changes in patient's condition for 2 of 21 sampled patients (Patient #12 and 18).

The agency failed to provide appropriate instruction and training for 1 of 21 sample patients (Patient #8).

The agency failed to ensure a registered nurse (RN) completed home health aide supervision at least every 60 days while observing each home health aide present and providing direct patient care for 1 of 3 sampled patients who received hands on personal care services with no skilled service…

The agency failed to ensure home health aide supervision was completed with all required components for 7 of 7 sampled patients who received home health aide services (Patients #10, #15, #16, #17, #19, #20 and #21).

The agency failed to ensure a transfer summary was sent in a timely manner to the facility assuming the patient's care and a discharge summary was sent in a timely manner to the primary care practitioner for 1 of 4 sampled patients (Patient #10) with a transfer and for 1 of 5 sampled discharged…