Winnebago County Phns

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 of Care for 2 of 2 sampled patients with missed visits…

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

The agency failed to provide a complete comprehensive assessment for patients with wounds during start of care, resumption of care and discharge assessments of 3 of 4 patient's with wounds (Patient #2, #6 and #7).

The agency failed to complete an accurate drug regimen review with each comprehensive assessment and failed to identify patient specific medication issues for 3 of 7 sampled patients (Patients #3, #4 and #5).

The agency failed to follow physician orders for treatments for 6 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 for 6 of 7 sampled patients (Patients #2, #3, #4…

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 2 of 3 sampled patients with surveyor home visit observation(Patients #1 and #2).

The agency failed to perform ongoing interdisciplinary assessments of the patient for 2 of 3 sampled patients with alteration of skin integrity (Patients #2 and #4).

The agency failed to provide services primarily in the patients' place of residence for 1 patient.

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

The agency failed to ensure 4 of 5 sampled home health aides (Staff G, H, I and J), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 8 sampled patients (Patients #2) with home health aide services, had documented evidence of competency by a…

The agency failed to ensure authentication of hand written entries made in each patient's clinical record included the employee's signature, title, date and time of the signature for 3 of 3 sampled patients receiving therapy services (Patients #2, #4 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 2 of 2 sampled patients requiring a Resumption of Care Assessment (Patients #8 and…

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, advanced directive information and hospital risk assessment for 8 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6, #7 and…

The agency failed to update the Plan of Care with all new orders for 5 of 9 sampled patients (Patients #1, #2, #4, #7 and #9).

The agency failed to ensure skilled nurses provided care as ordered by the physician in the Plan of Care for 1 of 2 sampled patients receiving home visits during the survey (Patient #3).

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

The agency failed 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…