Wapello County Public Health Nursing Services

The agency failed to assure the start of care, resumption of care, recertification and discharge comprehensive assessments with Outcome and Assessment Information Set (OASIS) included an integration of the OASIS data set into the agency's own comprehensive assessment in a clinically meaningful…

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 4 of 5 sampled patients requiring a recertification assessment (Patients #1, #2, #3 and #7).

The agency failed to ensure accurate completion of all pertinent components of the resumption of care comprehensive assessments within 48 hours of the agency's knowledge of return home from an inpatient facility for 3 of 3 sampled patients requiring a Resumption of Care Assessment (Patients #1, #2…

The agency failed to ensure accurate completion of all required components of the discharge comprehensive assessments within 2 calendar days of identification of the need to discharge a patient for 2 of 2 sampled patients requiring a discharge comprehensive assessment (Patients #6 and #7).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 2 of 3 sampled patients receiving wound assessment by agency staff (Patients #2 and #4).