Avera @ Home

The agency failed to follow a Plan of Care or notify the physician of missed visits for 1 of 2 sampled patients with missed visits.

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 1 of 3 sampled patients with home observation visits (Patient #3).

The agency failed to ensure skilled professional staff involved in the patient's plan of care completed an ongoing interdisciplinary services as required by agency policy and expectation for 1 of 3 sampled patients (Patient #5), who received wound care.

The agency failed to include a complete drug regimen review within the required time frames with the comprehensive assessments for 8 of 10 sampled patients (Patient #2, #3, #5, #6, #7, #9, #10 and #11).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 2 of 4 sampled patients with home visits (Patients #2 and #3).

The agency failed to provide agency patients with written contact information for the agency's clinical manager, including the clinical manager's name and contact information (telephone number and/or email address).

The agency hired 29 employees between 12/15/18 and 12/14/19. Failure to complete the required backgrounds checks according to the State of Iowa requirements placed agency patients at risk for potential harm.

The agency failed to comply with CMS requirements for home health agencies by operating an agency identified drop site as an unauthorized home health agency branch office in Sibley, Iowa.

The agency failed to complete a written emergency preparedness plan that included a process for cooperation and collaboration with local, regional, stated, and federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…

The comprehensive assessment, completed at start of care, dated 9/7/19, lacked documentation of an individualized emergency/ disaster plan assessment for the patient. b.

The agency failed to complete a written emergency preparedness plan that included procedures to inform state and local emergency preparedness officials of homebound patients in need of evacuation.

The agency failed to complete a written emergency preparedness plan that included procedures to inform State and local officials of any on duty staff they are unable to contact in the event of an interruption of services related to an emergency.

The agency's emergency preparedness communication plan failed to include contact information for state and federal officials.

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 perform complete and accurate drug regimen reviews with corresponding comprehensive assessments for 6 of 9 sampled patients (Patients #2, #3, #4, #6, and #8).

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 1 of 3 sampled patients requiring a resumption of care assessment (Patient #3).

The agency failed to update the Plan of Care with all new physician orders for 7 of 9 sampled patients.

Staff failed to report changes and coordinate care with the patient's physician for 2 of 9 sampled patients (Patients #3 and #7).

The agency failed to comply with CMS requirements for home health agencies by operating an agency identified drop site as an unauthorized home health agency branch office in Sibley, Iowa.

The agency failed to ensure the staff recorded verbal orders in the clinical record in a timely manner for 1 of 9 sampled patients (Patient #7).