Sioux Center Home Health and Hospice

The agency failed to ensure training in emergency preparedness to all existing staff, including staff employed under arrangement of contract, consistent with their expected roles.

The agency failed to ensure agency staff advised the patient of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and the charges the…

The agency failed to provide contact information for the state agency, Department of Inspections, Appeals, and Licensing (DIAL), complaint department on admission to home health services for 5 of 7 sampled patients (Patients #1, #2, #3, #4 and #6).

The agency failed to ensure clinicians followed agency policies and procedures when assessing wounds to agency patients for 2 of 4 sampled patients with wounds (Patient #1 and #4).

The agency failed to complete a drug regimen review within the required time frames as part of the update to the comprehensive assessment at discharge for 2 of 2 sampled patients requiring discharge from agency services (Patients #6 and #7).

The agency failed to ensure accurate completion of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 1 of 2 sampled patients for recertification requiring a recertification assessment (Patient #5).

The agency failed to include all Durable Medical Equipment (DME) in Plans of Care for 3 of 7 sampled patients (Patients #2, #6, and #7).

The facility failed to obtain orders for nursing procedures for 3 of 7 patient reviewed (Patients #3, #4, and #5).

The agency failed to complete a written emergency preparedness plan that included procedures 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 ensure 6 of 6 sampled home health aides (Staff F, G, H, I, J and K), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 3 sampled patients (Patients #2, #5 and #7), had documented evidence of competency by a registered nurse…

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 (Patient #5).

The agency failed to ensure agency staff advised the patient of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and the charges the…

The agency failed to accurately complete a drug regimen review (DRR), including completion of all required components and identification of any findings within the required time frames as part of the comprehensive assessment for 7 of 7 sampled patients (Patients #1, #2, #3, #5, #6, #7 and #8).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including medications, and/or equipment/supplies used to meet the patient's individualized needs for 3 of 7 sampled patients (Patients #3, #5 and #6).