Intrepid of Iowa, Inc

The agency failed to: 1) determine satisfactory competency with extra skills provided as an extension of nursing prior to assigning an aide to a patient who required the task to be performed (G768); 2) identify location of extra skills competency testing (See G772); 3) assure all aides are assigned…

Failure to complete the required backgrounds checks according to the State of Iowa requirements placed agency patients at risk for potential harm.

The home health agency failed to ensure the clinical record included a copy of an individualized emergency plan developed as part of the comprehensive assessment and/or failed to ensure each patient received a copy of the individualized emergency plan to keep in the home for 7 of 8 sampled patients…

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 the development of a policy and procedure for a medical documentation system that preserves patient information and confidentiality of patient information.

The agency failed to complete a written emergency preparedness plan.

The agency failed to ensure training in emergency preparedness for all individuals providing services under arrangement (contracted staff), consistent with their expected roles on or prior to November 15, 2017. The agency reported utilizing a total of 11 contracted staff (Physical Therapy…

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice observed during a home visit for 1 of 3 sampled patients (Patient #1).

The agency failed to ensure 1 of 1 sampled home health aides (Staff E), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 3 sampled patients (Patient #1); had documented evidence of competency by a registered nurse in the assigned task area…

The agency failed to provide individualized and specific written patient care instructions by a registered nurse (RN) to agency home health aides for 6 of 6 sampled patients receiving home health aide services (Patients #2, #3, #4, #5, #6 and #7).

The agency failed to accurately complete a drug regimen review, including failed to identify medication discrepancies with each comprehensive assessment/drug regimen review and/or failed to maintain an accurate list of medications, including times of administration for 3 of 5 sampled patients with…

The agency failed to ensure timely completion 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 assessment (Patient #2, #3 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 the patient's return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care assessment…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient, advanced directive information and hospital risk assessment for 3 of 8 sampled patients (Patients #1, #2 and #7).

The agency failed to document whether extra skills competencies were evaluated in a laboratory setting using a pseudo patient or in a home setting while being performed on an actual patient for 1 of 1 sampled home health aides (Staff E).

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 4 of 5 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patients #2, #3, #4 and…

The agency failed to ensure a registered nurse completed home health aide supervision at least every 60 days while observing the aide provide direct patient care for 1 of 1 sampled patients who received hands on personal care services with no skilled service provision.

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 2 of 2 sampled patients (Patients #3…