Centerwell Home Health

The agency failed to ensure the Registered Nurse (RN) practiced standard precautions while providing wound care to 1 of 1 patients observed receiving wound care services by the agency.

The agency failed to ensure they coordinated care delivery to meet the patient’s needs for 2 of 3 active patient records reviewed of patients receiving in-center dialysis treatment.

The agency failed to ensure a written visit schedule, including home health agency staff visits, was provided to the patients in 3 of 7 home visits.

The agency failed to ensure the patient or the patient’s caregiver were provided with a medication schedule/instructions, including medication name, dosage, and frequency in plain language in 2 of 7 home visit patients.

Employees failed to ensure they practiced proper hand hygiene while providing wound care to a patient for 1 of 2 patient's observed receiving wound care services by a Registered Nurse (Patient #4).

The agency failed to ensure all Employees complete the patient prescreening for COVID-19 in patients 5 out of 7 home visits.

The agency failed to ensure the comprehensive assessments were complete and accurately reflected the patient’s current health status in 2 of 12 active records reviewed.

The agency failed to ensure a complete and accurate assessment of the patient's strengths, and care preferences in 12 of 12 active patient record reviewed.

The agency failed to ensure a registered nurse reconciled all medications with the patient, health care representative, outside agencies and ordering physicians in 3 of 12 active records reviewed.

The agency failed to evidence the individualized plan of care included all DME (Durable Medical Equipment) and supplies, all accurate medications and allergies and treatments, care preferences, strengths, nutritional requirements, all safety measures, all necessary interventions to address…

The agency failed to ensure patient clinical records included information about the services the patient receives by other agencies and failed to ensure they coordinated care delivery to meet the patient's needs for 4 of 6 (Patients #4, 9, 10, 12) active patient records reviewed of patients…

The agency failed to ensure the patient and/ or patient representative was provided a medication schedule/ instructions, including the medication name, dosage, and frequency and whom medication will be administered by for 5 of 7 home visits conducted.

The agency failed to ensure the clinician communicated with all the patient’s physicians to establish plans of care, review medications and allergies, and coordinate care in 3 of 12 active patients.

The Administrator failed to ensure they were responsible for day to day operation of the home health agency in regards to the agency failing to evidence all services provided (the office will be available on call 24 hours a day 7 days a week), and services not provided by the office employees…

The clinical manager failed to ensure patient clinical records included information about the services the patient receives by other agencies and failed to ensure they coordinated care delivery to meet the patient's needs for 4 of 6 (Patients #4, 9, 10, 12) active patient records reviewed of…

The Administrator failed to ensure they had written agreements with agencies with who they share employees and patients for 1 of 1 active records reviewed of patients receiving social worker services from a sister agency.

The agency failed to ensure staff followed agency policies regarding the use of standard precautions, proper bag technique, and prevention of the transmission of infection and communicable diseases in 1 of 2 home visit observations.

The agency failed to provide any written or verbal documentation to support an active QAPI program addressing infection control and failed to provide any documentation showing tracking of infections, including COVID-19 positive patients.

The agency failed to provide updated training and education to employees, patients, and caregivers regarding the COVID-19 Pandemic for 2 of 2 patients/caregivers interviewed and 2 of 2 employees employed by the agency.

The agency failed to provide emergency preparedness policies and procedures that evidenced annual review and approval of revisions by the governing body for 1 of 1 agency.

The agency failed to develop a method for sharing information and medical documentation for patients under the agency's care during disaster relief for the parent and the branch agency emergency preparedness plan.

The agency failed to ensure that the clinician provided infection control and prevention to patient 1 of 1 home visit.

The home health agency failed to ensure all medications on the patient's current medication profile were reconciled, correct, and matched patient's prescription bottles in the home and the primary physician's medication records for 3 of 7 patient home visits observed and records reviewed (patient…

The agency failed to ensure the plan of care contained all the medications the patient was currently taking in the home for 1 of 5 patients in their initial certification period with home visits and records reviewed (Patient #7).

The agency failed to ensure the medications listed on the plan of care were reviewed, revised and accurately reflected the patients' current medications for 2 of 2 patients who had a recertification period and were observed during home visits (patient #3 and 4) out of a sample of 7 home visits.

The skilled nurses failed to ensure they conducted a proper head to toe assessment according to Professional Standards for 3 of 3 patients with home visits observe.

The Clinical Supervisor failed to ensure skilled nurses performed a complete physical assessment per professional standards for 3 of 3 skilled nurse home visits.