Mercyone Des Moines Home Care

The home health agency failed to: ensure the parent home health agency notified the state agency of the proposed intent to add a branch office and obtain approval for the branch office prior to providing services out of the branch office.

The agency failed to notify the State agency (SA) of their intent to add a branch location, provide the necessary documentation and obtain approval for a branch location prior to providing services to agency patients from that branch location.

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

570 CONDITION Based on clinical record review, agency policy review, patient and patient caregiver interview, agency staff interview and home visit observation, the agency: 1) failed to ensure each patient received services that were established by a doctor of medicine, osteopathy or podiatry…

The agency hired 41 new employees since 11/29/2018. The systemic practice resulted in the failure to ensure the organizational framework of the agency promoted and supported the adherence to state regulations and coordination of safe and effective delivery of care to the agency's 359 patients. 481…

The home health agency failed to provide the patient with a copy of their individualized emergency preparedness plan and/or failed to maintain documentation of the patient's individualized emergency preparedness plan in the patient's chart, for 12 of 18 sampled patients (Patients #2, #3, #4, #7…

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 for 4 of 7 sampled patients (Patients #2, #3, #16…

The agency failed to involve the governing body in the overall management and operation of the organization resulting in the governing body not being aware the agency was operating out of compliance with condition level regulations at Care Planning, Coordination and Quality of Care and condition…

The agency failed to complete a drug regimen review within the required time frames as part of the comprehensive assessments for 13 of 18 sampled patients (Patients #1, #2, #5 #6, #7, #8, #9, #12, #13, #15, #16, #17 and #18).

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 2 of 8 sampled patients requiring a recertification assessment (Patients #2 and #6).

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 2 of 4 sampled patients requiring a resumption of care assessment (Patients #1 and #17).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 12 of 17 sampled patients (Patients #1, #2, #3, #4, #5, #7, #8, #9, #11, #12, #13, and #16).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 16 of 16 sampled patients with new verbal/interim orders (Patients #1, #2, #3, #5, #6, #7, #8, #9, #10, #12, #13, #14, #15, #16, #17 and #18).

The agency failed to provide medications, treatments or services only as ordered by the physician for 2 of 17 sampled patients (Patients #8 and #16).

The agency failed to report changes in patient clinical findings or changes in patient needs to the physician for 2 of 17 sampled patients (Patients #13 and #16).

The agency failed to ensure agency staff coordinated the delivery of care in a way to meet patient individualized needs for 1 of 17 sampled patients (Patient #8).

The agency failed to ensure the patients clinical record included accurate and specific documentation of interventions and maintained pertinent current information in the patient record for 4 of 7 sampled patients (Patients #1, #7, #10 and #16).

The clinical record lacked documentation of an individualized emergency preparedness plan provided to the patient at the time of admission or any time thereafter and lacked a copy of the emergency preparedness plan the agency provided to the patient.

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 provide an initial assessment visit within 48 hours of receipt of referral and/or return home, for 4 of 16 sampled patients (Patients #2, #4, #11 and #14) who were admitted since 11/24/15 (the date of the agency's last recertification survey).

The agency failed to ensure accurate completion of all pertinent components of the start of care comprehensive assessment within the required time frame for 3 of 16 sampled patients (Patients #3, #10 and #15) with a start of care date after the last survey (11/24/15).

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 7 of 16 sampled patients (Patients #4, #6, #11, #12, #13, #14 and #15).

The agency failed to accurately complete a drug regimen review, including completion of all required components, identification of actual/potential concerns and/or failed to identify medication discrepancies with each comprehensive assessment/ drug regimen review and/or failed to maintain an…

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

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 5 of 17 sampled patients (Patients #3, #5, #6, #11 and #15).

The agency staff failed to report changes and coordinate care with the other professional staff and the patient's physician for 3 of 17 sampled patients (Patients #3, #4 and #10) . The agency reported a census of 440 patients.

The agency failed to ensure the clinical record contained complete, accurate and up to date information for 5 of 5 sampled patients (Patients #3, #4, #9, #10 and #13).

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 1 of 2 sampled patients (Patient #1).