Centerwell Home Health

The Governing body failed to ensure the required professional members were appointed to a committee.

The agency failed to ensure coordination of care in the management of the patient's needs.

The agency’s Registered Nurses (RN) failed to reconcile a patient's medications and failed to measure patients' wounds in accordance with the agency's policies.

The agency Registered Nurse/RN failed to ensure the plan of care addressed the patient’s individual needs.

The agency’s Registered Nurses (RN) failed to assess wounds in accordance with the agency’s policy.

The agency nurse failed to obtain a physician's order prior to pre pouring medications, which included Methotrexate and Jardiance.

The agency nurse failed to follow the agencies policy for medication prepour and as a result, included the medications Methotrexate and Jardiance into the patient's pill box for administration absent a physician's order.

Interview with the Pharmacist on 8/11/22 at 1:00 pm identified Patient #1 had never been prescribed Methotrexate or Jardiance from the pharmacy and these medications were not part of his/her current medication profile.

The agency failed to ensure authenticity of the entries in the clinical record.

The agency failed to take action to protect the patients during an internal investigation of allegations.

The Administrator failed to ensure the development of policies on investigation process, scheduling of staff and protection of patients during an investigation.

The Clinical Manager failed to ensure the development of current and accurate schedules for staff, and failed to timely remove staff from services during an investigation.