Pella Regional Home Health Agency

The agency failed to report changes in patient needs to the physician for 1 of 1 sampled patients with home visit medication set up (Patient #3).

The agency failed to provide medication set up as ordered by a physician for 1 of 1 sampled patients with home visits for medication set up (Patient #3).

The agency failed to send a transfer summary 2 business days of becoming aware of transfer and discharge summary to the physician and other health care professionals who would be providing care to the patient after discharge within 5 business days for 1 of 2 sampled patients transferred to another…

The agency failed to document participation in an actual disaster event, any community based, tabletop, inter-facility based, regionally based or facility designed full scale disaster exercise in 2021 and 2022. Failure for the agency to conduct/participate and review disaster exercises of any type…

The agency failed to ensure the comprehensive assessments included wound measurements and provided an accurate reflection of the patient’s status for 1 of 2 sampled patients with wounds (Patient #2).

The agency failed to complete a drug regimen review with the discharge comprehensive assessment for 1 of 2 sampled patients with discharge (Patient #7).

The agency failed to update the Plan of Care with healthcare practitioner orders obtained during a 60 day certification period (interim orders) for 4 of 5 sampled patients (Patients #2, #3, #5 and #7) with interim healthcare practitioner orders.

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 1 of 2 sampled patients with wounds (Patient #2).

The agency failed to complete and send a discharge summary to the physician or other health care professionals responsible for providing care to the patient after discharge within 5 business days of the patient's discharge for 1 of 2 sampled patients requiring discharge (Patient #6).

The agency failed to ensure the agency had a written policy and procedure that addressed the need to include the completion of an individualized emergency preparedness plan as part of the comprehensive assessment for each patient.

The agency failed to ensure training in emergency preparedness for 13 of 14 employed therapy staff consistent with their expected roles on or prior to November 15, 2017, in 2018 and/or 2019. The agency reported utilizing a total of 14 employed therapy staff to provide services to agency patients.

The agency failed to accurately complete a drug regimen review, including completion of all required components within the required time frames as part of the comprehensive assessment for 4 of 7 records reviewed (Patients #1, #5, #6 and #7).

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

The agency failed to update the Plan of Care with all new physician orders for 5 of 5 sampled patients with interim physician orders.

The agency failed to provide services only as ordered by the physician for 2 of 7 sampled patients (Patients #5 and #6).