Ultimate Nursing Services of Iowa Inc

The agency 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 staff provided care in accordance with agency expectations and accepted infection control standards of practice for 1 of 3 patients (Patient #1) with home visit observations.

The agency failed to ensure all documentation included a date and time of signature for 3 of 7 sampled patients (Patients #1, #3 and #4).

The agency failed to complete a drug regimen review, including all required components, with each comprehensive assessment within the allowed time frames and/or failed to identify medication discrepancies at the time of the comprehensive assessment for 2 of 7 sampled patients (Patients #4 and #6).

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 7 sampled patients (Patients #3 and #5).

The agency failed to coordinate care and integrate services to assure patient needs are being met for 1 of 3 sampled patients with home visit observations (Patient #1).