Iowa Home Care, L L C

The agency failed to ensure the home health aides successfully completed competencies in home health aide skills that exceed basic skills, which require a registered nurse (RN), or other appropriate skilled professional in consultation with a registered nurse, to evaluate the competency of the aide…

The agency failed to ensure accurate completion of all components comprising the Plan of Care (POC), including all medical supplies/equipment and all medication for used by the patient for 3 of 3 home visits (Patients #1, #2, and #3).

The agency failed to provide services only as ordered by the physician for 3 of 3 home visit observations (Patients #1, #2. and #3).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 6 sampled patients receiving home health aide services (Patients…

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 3 of 7 sampled patients (Patients #3, #6 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including frequency and duration of all disciplines and all supplies/equipment and medications used by the patient for 3 of 7 sampled patients (Patients #1, #3 and #7).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 2 of 7 sampled patients (Patients #3 and #4).

The agency failed to ensure the patient was informed about changes in the care to be furnished for 1 of 3 sampled patients (Patient #2).

The agency failed to ensure the documentation of complaint and the resolution of complaint made by an agency patient for 1 of 3 sampled patients (Patient #2).

The agency failed to ensure the revision to the plan of care was communicated to the patient, representative (if any) and the caregiver for 1 of 3 sampled patients (Patient #2).

The agency: 1) failed to ensure each patient received services as ordered (G572); 2) failed to ensure all supplies/equipment/medications/treatments required by the patient to meet his/her needs were included and accurate on each patient's Plan of Care (G574); 3) failed to provide medications…

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 4 of 7 sampled patients (Patients #3, #4, #5 and…

The agency failed to ensure staff provided care in accordance with accepted infection control standards of practice observed during a home visit for 1 of 3 sampled patients (Patients #1) with home visit observations.

The agency failed to ensure 3 of 6 sampled home health aides (Staff H, I and J), demonstrated completion of all of the assigned extra skills while observed by a registered nurse to determine competency in each task prior to being allowed to care for agency patients independently for 1 patient…

The agency failed to ensure completion of documentation for routine visit notes were completed within the agency's administrative expectations for 7 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #8).

The agency failed to report suspected allegations of dependent adult abuse (exploitation by theft) as required by agency policy and federal regulations for 1 of 1 patient reviewed with allegations of abuse.

The agency failed to provide an initial assessment visit within 48 hours of receipt of referral, within 48 hours of known inpatient facility discharge date, or on the physician ordered start of care date for 5 of 9 sampled patients (Patients #1, #2, #5, #6, and #9).

The agency failed to ensure completion of the update to the comprehensive assessment with accompanying drug regimen review within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care assessment (Patients #4).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all medications, treatments, and supplies/equipment used by the patient and physician approved staff interventions for 3 of 7 sampled patients with clinical record review (Patients #1, #3…

The agency failed to provide medications, treatments or services only as ordered by the physician for 1 of 3 sampled patients with orders for wound care (Patient #6).

The agency failed to notify the physician of changes in patient condition or needs that suggest an alteration to the Plan of Care for 4 of 7 sampled patients (Patients #2, #4, #5 and #6).

The agency failed to coordinate services provided by all disciplines in a manner to effectively meet the identified needs of the patient for 5 of 9 sampled patients (Patients #4, #5, #6, #8 and #9).

The agency clinicians failed to including measurements of wounds, including length, width and depth, weekly as required for 1 of 3 sampled patients with wounds (Patient #1).

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

The agency failed to complete and send a transfer summary to the physician caring for the patient at the inpatient facility after transfer within 2 business days of the patient's transfer and/or failed to complete and send a discharge summary to the physician and other health care professionals who…

Lippens, Wendi Based on clinical record review, agency policy review, patients rights in the admission packet, agency complaint log, patient interview and staff interview, the agency failed to ensure the documentation of the existence and resolution of a complaint made by the patient or patient's…

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 2 of 3 patients with home visits (Patients #1 and #3).

The agency failed to administer treatments and services only as ordered by the physician for 3 of 9 sampled patients (Patients #5, #8 and #9).

The agency failed to report changes in patient clinical findings to the physician for 1 of 9 sampled patients (Patient #3) with a clinical record review.

The agency failed to ensure skilled nurses provided care as ordered by the physician in the Plan of Care for 2 of 9 sampled patients receiving a skilled nursing service (Patients #8 and #9).

The agency failed to ensure that registered nurses communicated and coordinated care and services with a patient's physician and aides providing care for 2 of 9 sampled patients (Patients #3 and #5).

The agency failed to ensure the documentation of the existence and resolution of a complaint made by the patient or patient's caregiver regarding treatment or care that is (or fails to be) furnished for 1 of 6 sampled patients (Patients #6) with patient/caregiver interviews.

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

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 2 of 3 patients with home visits (Patients #1 and #3).

The agency failed to administer treatments and services only as ordered by the physician for 3 of 9 sampled patients (Patients #5, #8 and #9).

The agency failed to report changes in patient clinical findings to the physician for 1 of 9 sampled patients (Patient #3) with a clinical record review.

The agency failed to ensure skilled nurses provided care as ordered by the physician in the Plan of Care for 2 of 9 sampled patients receiving a skilled nursing service (Patients #8 and #9).

The agency failed to ensure that registered nurses communicated and coordinated care and services with a patient's physician and aides providing care for 2 of 9 sampled patients (Patients #3 and #5).