Keokuk County Phns

The agency failed to ensure the development of a written policy and procedure to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to follow a Plan of Care established and periodically reviewed by a doctor of medicine, osteopathy or podiatry or notify the physician of the need to vary from the physician ordered Plan for Care for 2 of 7 sampled patients (Patients #1 and #7).

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

The agency failed to ensure agency staff accurately completed a drug regimen which included a review of all medications used by the patient for 1 of 3 sampled patients (Patient #2) with a home visit observation.

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 5 of 7 sampled patients (Patients #1, #2, #3, #4 and #6).

The agency failed to ensure agency staff updated the Plan of Care with all new physician orders for 1 of 1 sampled patients (Patient #1) with interim orders for physical therapy services.

The home health agency failed to ensure the clinical record included a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment for 1 of 7 and/or failed to provide a written copy of the patient's individualized emergency plan for 3 of 7 sampled patients…

The hospice 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 ensure the development of a written policy and procedure to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to have a written policy and procedure for the use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed provide documentation that the agency developed and maintained an emergency communication plan that included a means of providing information about the agency's occupancy, needs and its ability to provide assistance, to the authority having jurisdiction, the Incident Command…

The agency failed to ensure training in emergency preparedness for all employed staff and all individuals providing services under arrangement (contract staff), consistent with their expected roles on or prior to November 15, 2017. The agency reported utilizing a total of 10 employed staff and 7…

The agency failed to ensure participation in two emergency preparedness exercises in 2017 and 2018. The agency reported a current census of 30 patients.

The agency failed to ensure authentication of hand written entries made in each patient's clinical record included the employee's signature, title, date and time of the signature for 7 of 7 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #7).

The agency failed to provide agency patients with written contact information for the agency's administrator, including the administrator's name and contact information (telephone number).

The agency failed to accurately complete a drug regimen review, including accurate completion of all required components for 2 of 7 records reviewed (Patients #3 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 6 of 7 sampled patients (Patients #1, #2, #3, #4, #5 and #6).

The agency failed to update the Plan of Care with new physician orders for 4 of 7 sampled patients (Patients #2, #3, #4 and #5).

The agency failed to provide agency patients with written contact information for the agency's clinical manager, including the clinical manager's name and contact information (telephone number).

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 knowledge of the patient's transfer for 1 of 2 sampled patients with transfers (Patient #2).