International Quality Homecare of Wisconsin, LLC

The agency failed to ensure the Emergency Preparedness (EP) Plan was developed based on an all-hazards risk assessment and how the agency was involved in the development of the EP plan in 1 of 1 Emergency Preparedness Progam reviewed.

Agency staff failed to develop Plans of Care that are specific to each patient's need in 6 out of 8 patients (#2, #3, #4, #5, #6, #8).

The administration at this agency failed to develop, implement, evaluate and maintain an effective ongoing home health agency wide data driven Quality Assessment and Performance Improvement (QAPI) program in 1 of 1 QAPI programs reviewed.

This agency's administration failed to adhere to the criteria for operating 3 of 3 branch offices (Westfield, Neillsville, and Prairie du Sac, WI), Findings Include: The agency failed to provide proper supervision and administrative control of it's branch locations on a daily basis.

The agency staff failed to maintain a complete medical record for 2 of 8 medical records reviewed.

This agency failed to document a risk assessment in 1 of 1 Emergency Preparedness programs reviewed.

This agency failed to ensure there is a written communication plan in 1 of 1 Emergency Preparedness programs reviewed.

The agency failed to demonstrate how it was actively involved in the developement and maintainance of the unified and integrated emergency preparedness (EP) program, in 1 of 1 EP program reviewed.

Agency staff failed to develop a patient individualized plan of care (POC) within agency defined timeframes and signed by the physician in 5 of 8 patient records reviewed.

The administration at this agency failed to ensure the Quality Assessment Performance Improvement (QAPI) program included improvement in health outcomes, patient safety and quality of care in 1 of 1 QAPI programs reviewed.

The administration at this agency failed to ensure the Quality Assessment Performance Improvement (QAPI) program utilized program quality indicator data in monitoring effectiveness, identifying improvement opportunities and outlining detail and frequency of data collection in 1 of 1 QAPI programs…

The administration at this agency failed to ensure a Quality Assessment Performance Improvement (QAPI) program included performance improvement activities in 1 of 1 QAPI programs reviewed.

This agency failed to ensure a Quality Assessment Performance Improvement (QAPI) program tracked adverse patient events, analyze their causes and implement preventive actions in 1 of 1 QAPI program reviewed.

This agency failed to ensure the Quality Assessment Performance Improvement (QAPI) program conducted a performance improvement project in 1 of 1 QAPI program reviewed.

Agency staff failed to develop a patient individualized plan of care (POC) that included the type of services ordered and frequency of visits to be made in 1 of 8 charts reviewed.

This agency failed to ensure a Quality Assessment Performance Improvement (QAPI) program focused on high risk, high volume, or problem-prone areas.

This agency failed to ensure a Quality Assessment Performance Improvement (QAPI) program included incidence, prevalence, and severity of problems in 1 of 1 QAPI program reviewed.

The administration at this agency failed to include skilled professional staff of the agency in the participation of it's Quality Assessment and Performance Improvement (QAPI) program in 1 of 1 QAPI Program reviewed.

The administration at this agency failed to provide oversight for 3 of 3 branch offices (Westfield, Neillsville, and Prairie du Sac, WI) and ensure the personnel named as administrator had adequate qualifications and training.

Agency staff failed to maintain a complete medical record for 2 of 8 medical records reviewed.

This agency's administration failed to adhere to the criteria for operating 3 of 3 branch offices (Westfield, WI, Neillsville, WI, and Prairie du Sac, WI), following opening these locations effective 7/19/2018. Findings Include: The agency failed to provide proper supervision, training, and…

This agency's parent office failed to provide oversite, competency training, orientation, and supervision for three branch locations in 3 of 3 locations reviewed (Westfield, WI, Neillsville, WI, and Prairie du Sac, WI).