Open Arms Home Health Care - Des Moines, LLC

The agency failed to: 1) determine satisfactory competency may be evaluated through written examination (G768); 2) assure written patient care instructions for home health aide prepared by registered nurse (G798); 3) assure home health aides provide services included in the plan of care (G800); 4)…

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 6 sampled patients.

The agency failed to ensure a registered nurse or other appropriate skilled professionals in consultation with a registered nurse as appropriate performed direct observation of home health aide performance of all required basic home health aide skills on a home health patient to determine…

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 1 of 6 sampled patients receiving home health aide services (Patients #1).

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 3 of 6 sampled patients receiving home health aide services (Patients…

The agency failed to ensure a registered nurse (RN) or other appropriate health care professional completed home health aide supervision at least every 14 days for 1 of 6 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patient #1).

The agency failed to ensure a registered nurse completed home health aide supervision on-site annually while observing each home health aide providing direct patient care for 1 of 9 sampled home health aides hired prior to 2025. Failure to supervise home health aide services while the aides…

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care, as required by agency policy and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 2 sampled patients receiving home…