Wesley Life Home Health

The agency: 1) failed to comply and follow through with the policy set by the agency of addressing discharge for cause (G462): 2) failed to advise the patient and health care professional who would be responsible for providing care and services to the patient after discharge from the agency that a…

The agency failed to document the patient's behaviors and circumstances that warranted patient's discharge for cause and the agency's efforts to resolve the problems prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #5)…

The agency failed to notify the patient prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #5) Failure to provide patients with notification that discharge for cause is being considered denied the patient of the ability to…

The agency failed to initiate any efforts to resolve problems presented by the patient's behavior or a situation prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #5) Failure to attempt to initiate any efforts to resolve…

The agency failed to document any efforts to resolve problems presented by the patient's behavior or a situation prior to discharging the patient for cause for 1 of 1 sampled patients discharged for behaviors or non-compliance (Patient #5) Failure to document efforts to resolve problems denied the…

The agency failed to provide an initial assessment visit within 48 hours of receipt of referral and/or known discharge date, or on the physician ordered start of care date for 4 of 6 sampled patients (Patients #2,#3 #4 & #6).

The agency failed to communicate and/or document communication with the physician and patient in ongoing plans for discharge from the agency for 1 of 5 sampled patients (Patient #3).

The agency failed to ensure training in emergency preparedness to all current staff annually.

The agency failed to provide a complete comprehensive assessment for patients with wounds during start of care, recertifications, resumption of care and discharge assessments for 5 of 5 sampled patients with wounds (Patients #1, #6, #12, #16 and #17).

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 5 of 7 sampled patients with home observation visits (Patients #1, #3, #4, #6 and #7).

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient for 7 of 17 sampled patients (Patients #1, #4, #5, #7, #8, #10 and #15).

The agency failed to follow physician orders for treatments for 7 of 17 sampled patients (Patients #1, #3, #5, #6, #7, #8 and #17).

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 8 sampled patients (Patient #8), who received home health aide services.

The agency Failed to ensure each patient received services that were established by a doctor of medicine, osteopathy or podiatry (G572); The cumulative effects of these systemic practices resulted in placing patients at risk of not receiving safe, individualized and consistent care designed to meet…

The agency failed to follow a Plan of Care established and periodically reviewed by a physician and to notify the physician of the need to vary frequency of visits or inability to perform services as originally ordered on the Plan of Care for 1 out of 8 sampled patients.

The agency failed to follow a Plan of Care (POC) established and periodically reviewed by a physician or notify the physician of missed visits for 3 of 5 sampled patients (Patients #1,#3 and #4).

The agency failed to follow a Plan of Care (POC) established and periodically reviewed by a physician or notify the physician of missed visits for 4 of 5 sampled patients (Patients #1, #2, #3, and #4).

The agency failed to complete emergency preparedness training for all contracted staff after January 2020. The agency provided services to 536 patients at the time of the survey.

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 of Care for 2 of 17 sampled patients (Patients #5 and #8).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 6 of 17 sampled patients (Patients #1, #3, #5, #6, #14 and #15).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 4 of 17 sampled patients.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 6 sampled patients receiving home health aide services (Patient #1, #13 and #17).

The agency: 1) Failed to notify the physician of the inability to complete interventions on the Plan of Care as ordered (Please refer to G 572); 2) Failed to ensure the agency skilled staff completed an individualized Plan of Care that contained accurate information.

The agency: 1) failed to assure all aides are assigned specific, individualized tasks for each patient by an agency registered nurse (Please refer to G798); 2) failed to assure all aides are providing services only as ordered by a physician and assigned by the registered nurse (Please refer to…

The agency failed to comply with CMS requirements for home health agency branch offices in Newton, Iowa, Ames, Iowa and Atlantic, Iowa.

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

The home health agency failed to ensure the clinical record included a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment and/or provide the patient an individualized emergency plan for 4 of 17 sampled patients (Patients #3, #6, #14 and 19) with…

The agency failed to ensure the policy included the development of a procedure to inform State and local officials specifically of homebound patients in need of evacuation due to an emergency situation.

The agency failed to complete a written emergency preparedness plan that included procedures to inform State and local officials of any on duty staff and patients 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 Federal emergency preparedness staff.

The agency failed to provide documentation that the hospice developed and maintained an emergency plan that included primary and alternate means of communicating with the State and regional emergency management agencies.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles for 2 of 12 sampled directly hired employees and 1 of 5 contracted staff in 2019. Lack of emergency preparedness training for staff puts patients at risk should an emergency…

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 Care for 6 of 17 sampled patients (Patients #2, #11, #12, #16, #17 and #18).

The agency failed to ensure staff provided care in accordance with accepted infection control standards of practice observed during a home visit for 3 of 7 sampled patients (Patients #1, #4 and #5) with home visit observations.

The agency failed to provide individualized and specific written patient care instructions from a registered nurse to agency home health aides for 3 of 9 sampled patients receiving home health aide services (Patients #9, #10 and #19).

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

The agency failed to ensure agency staff completed the comprehensive assessment at the start of care by the fifth day after the start of care for 2 of 16 sampled patients admitted after 6/14/17 (Patients #11 and #16).

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 3 of 8 patients with a comprehensive assessment (Patient #6, #8 and #10).

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 7 of 16 records reviewed (Patients #1, #3, #6, #10, #12, #14 and #15).

Agency clinicians failed to complete updates to the comprehensive assessment at recertification in the last 5 days of each certification period for 6 of 8 sampled patients requiring a recertification assessment (Patients #4, #8, #9, #11, #12 and #17).

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 4 sampled patients requiring a discharge comprehensive assessment (Patient 13).

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 8 of 17 sampled patients (Patients #1, #2, #3, #4, #7, #9, #13 and #15).

The agency failed to provide medications, treatments or services only as ordered by the physician for 5 of 17 sampled patients (Patients #3, #8, #11, #12 and #17).

The agency failed to ensure agency nursing staff documented verbal orders received from physicians, including the date and time the nurse received the orders, and sent those orders to the physician for signature for 2 of 17 sampled patients (Patients #8 and #17).

The agency failed to coordinate care provided by all physicians and integrate orders from the non-primary physician to the primary physician to assure patients who required physical therapy service needs are met for 1 of 1 sampled for patients with more than 1 physician providing physical therapy…

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 failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 5 of 9 sampled patients receiving home health aide services (Patients…

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 2 of 4 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patients #9 and #11).

The agency failed to ensure a registered nurse completed home health aide supervision at least every 60 days while observing the home health aide present and providing direct patient care for 1 of 2 sampled patients who received hands on personal care services with no skilled service provision.

The agency failed to ensure registered nurses supervising home health aides maintained documentation of a review of all required supervisory elements including following the patient plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all assigned tasks…

The agency failed to comply with CMS requirements for operation of home health agency branch offices for 3 of 3 branch offices previously identified by the agency and approved by CMS.

The agency failed to ensure the patient's clinical record included accurate and specific documentation of interventions and maintained pertinent current information in the patient record for 2 of 5 sampled patients with wounds (Patients #8 and #16).

The agency failed to complete and send a transfer summary to the 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 5 of 5 sampled patients requiring a transfer summary…

The agency failed to notify the physician of changes in visit frequency ordered on the Plan of Care (missed visits) for 1 of 5 sampled patients (Patients #2).

The agency failed to ensure agency staff provided the patient or legal representative with a copy of the notice of patient's rights and responsibilities for 1 of 5 sampled patients (Patient #5).

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 ensure the patient received proper written notice, in advance of a specific service being furnished for 2 of 5 sampled patients (Patients #2 and #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, accurate information for 2 of 5 sampled patients (Patients #2 and #3).

The agency failed to administer medications and treatments only as ordered by the physician for 2 of 5 sampled patients (Patients #1 and #2).