Mercy Health Services-Iowa Corp

The agency failed to complete a written emergency preparedness plan.

The agency failed to ensure the completion of all pertinent components of the update to the comprehensive assessment 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 (Patient #9).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 6 of 17 sampled patients (Patients #1, #2, #3, #6, #7 and #17).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 4 sampled patients receiving home health aide services (Patient #5, #7, #10 and #12).

The agency failed to ensure the patient's clinical record included accurate and specific documentation of interventions and maintained pertinent current information in the patient record for 8 of 17 sampled patients (Patients #3, #5, #7, #10, #11, #12, #15 and #17).

The agency failed to ensure agency staff completed and sent a transfer summary to the health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of the planned transfer for 1 of 4 sampled patients requiring transmission of a…

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 2 of 3 sampled patients (Patients #6 and #8) with a non Medicare payer source.

The agency failed to accurately complete a drug regimen review, including completion of all required components, identification of actual/potential concerns and/or failed to identify medication discrepancies with each comprehensive assessment/drug regimen review and/or failed to maintain an…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient for 7 of 13 sampled patients (Patients #1, #3, #4, #5, #8, #10 and #13).