Centerwell Home Health

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 9 of 17 sampled patients (Patients #1, #3, #4…

The agency failed to perform complete and accurate drug regimen reviews with each comprehensive assessment and identify patient specific medication issues for 5 of 17 sampled patients (Patients #2, #4, #5, #6 and #17).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient for 5 of 17 sampled patients (Patients #2, #4, #7, #15 and #16).

The agency failed to update the Plan of Care with new physician orders for 8 of 17 sampled patients with interim physician orders (Patients #1, #3, #6, #9, #11, #12, #13 and #15).

The agency failed to follow physician orders for wound care for 3 of 12 sampled patients with wounds (Patient's #3, #6 and #13).

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 6 of 12 sampled patients (Patients #1, #2, #6, #8, #9 and #15) with wounds.

The agency failed to perform complete and accurate drug regimen reviews with corresponding comprehensive assessments for 7 of 13 sampled patients (Patients #4, #6, #10, and #17).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient to meet his/her needs and an accurate list of the patient's current medications for 9 of 17 sampled patients (Patients #2, #3, #4, #5, #6, #10…

The agency failed to update the Plan of Care with all new physician orders during the Plan of Care's certification period for 5 of 17 sampled patients (Patients #7, #10, #14, #15 and #17).

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 3 sampled patients (Patient #15) with wounds.

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 4 of 4 sampled patients (Patients #1, #2, #3 and #4).

The agency failed to provide wound care treatments as ordered by the physician for 1 of 1 sampled patients receiving wound care services from the agency (Patient #2).

The agency failed to ensure the patient's clinical record included accurate, complete and current documentation of interventions related to assessments and/or treatments provided by skilled professionals for 2 of 3 sampled patients with a wound (Patients #2 and #4).

The clinical record lacked documentation of the patient's emergency preparedness plan provided to the patient at the time of admission.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles.

The agency failed to ensure the home health aide care plan was reviewed and updated to accurately reflect the patient's personal care needs for 1 of 1 sampled patients (Patient #4).

The agency failed to ensure accurate completion of all pertinent components of the start of care comprehensive assessment within the required time frame for 12 of 13 sampled patients (Patients #1, #2, #3, #5, #6, #7, #8, #9, #10, #11, #12 and #13) with a start of care date after the last survey…

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 5 of 13 sampled patients (Patients #4, #5, #7, #10 and #11).

The agency failed to accurately complete a drug regimen review, including completion of all required components, identification of actual/potential concerns and/or failed to identify medication discrepancies with each comprehensive assessment/drug regimen review for 13 of 13 sampled patients…

The agency failed to ensure timely completion of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 5 of 5 sampled patients requiring a recertification assessment (Patients #4, #7, #9, #10 and #11).

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 #7 and…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient to meet his/her needs, an accurate list of the patient's current medications and physician orders for 3 of 5 sampled patients with home visits…

The agency failed to provide to the patients medication lists that included medication name, dosage, frequency and which medications will be administered by agency personnel for 2 of 5 sampled patients with home visit observations (Patients #4 and #5).

The agency failed to ensure the clinical record contained complete, accurate and up to date information for 5 of 5 sampled patients (Patients #3, #4, #9, #10 and #13).