Good Samaritan Society-Home Care

The agency failed to ensure agency staff properly authenticated all clinical entry notes and/or completed within the agency's expected timeframe for 7 of 7 sampled patients.

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient for 3 of 3 sampled patients with surveyor home visit observation (Patients #1 #2 and #3).

The agency failed to report changes in patient clinical findings or changes in patient needs to the physician for 1 of 7 sampled patients.

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 in a timely manner for 4 of 7 sampled patients…

The agency failed to: I. ensure home health aides successfully completed all required basic skills competency demonstration while evaluated by a registered nurse observing the task performance prior to providing care to any agency patients for 3 of 4 sampled home health aides (Home Health Aides B…

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 2 of 3 sampled patients receiving home health aide services (Patients #2, and #3).

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 complete a drug regimen review within the required time frames as part of the initial and update to the comprehensive assessment for 4 of 8 sampled patients (Patients #1, #2, #7 and #8).

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 3 of 5 sampled patients requiring a recertification assessments (Patients #3, #5 and #8).

The agency failed to ensure completion of the update to the comprehensive assessment 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 (Patient #4, #5 and #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient for 4 of 7 sampled patients (Patients #1, #2, #3 and #5).

The agency failed to provide medications, treatments or services only as ordered by the physician for 1 of 8 sampled patients (Patient #2).

The agency failed to perform ongoing interdisciplinary assessments of the patient for 1 of 1 sampled patients with alteration of skin integrity (Patient #2).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services…

The agency: 1) failed to meet the agency identified personal care needs of patient in the patient's home (G570); 2) failed to follow the physician ordered Plans of Care, notifying the physician of the need to vary from the Plan (G572); and 3) failed to include all required complete components on…

The agency reported hiring 15 employees either directly or by contract since 2/10/16. Failure to complete the required backgrounds checks according to the State of Iowa requirements placed agency patients at risk for potential harm.

The Recertification Comprehensive Assessment, dated 12/11/18 and 2/8/19, lacked documentation of an emergency preparedness assessment and/ or review of the emergency preparedness plan.

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 follow a Plan of Care established and periodically reviewed by a doctor of medicine, osteopathy or podiatry or notify the physician of the need to vary from the physician ordered Plan for 3 of 7 sampled patients (Patients #5, #6 and #3).

The agency failed to ensure authentication of electronic signatures stored in the electronic medical record in each patient's clinical record included the date and time of the employee signature for 4 of 4 sampled patients who received therapy services (Patients #1, #4, #5 and #7).

The agency failed to ensure accurate completion of all pertinent components of the resumption of care comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a Resumption of Care Assessment (Patient #5).

The agency failed to ensure completion of all required components of the discharge comprehensive assessments within 2 calendar days of identification of the need to discharge a patient for 1 of 2 sampled patients requiring a discharge comprehensive assessment (Patient #5).

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 information for 5 of 7 sampled patients (Patients #1, #2, #3, #6 and #7).

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 3 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patient #6).

The agency failed to document all required components of home health aide supervision every 14 days when a skilled services was provided in conjunction with the aide services and every 60 days when no skilled service was provided for 4 of 4 sampled patients receiving home health aide services for…