Centerwell Home Health

The agency failed to establish and maintain a comprehensive emergency preparedness program for all its locations.

The agency failed to develop, maintain, review, and update an emergency preparedness plan at least every two years as required.

The agency failed to conduct a facility-based and community-based risk assessment for each location, as required under the all-hazards approach.

The agency failed to develop and maintain an emergency preparedness plan that contained required elements, including strategies for the patient population (including persons at-risk), the type of services the agency can provide during an emergency, and continuity of operations planning, including…

The agency failed to develop and maintain a process for cooperation and collaboration with local, State, regional, and Federal emergency preparedness officials.

The agency failed to develop and maintain an emergency communication plan that met the requirements under §484.102(c).

The agency failed to develop and maintain an emergency communication plan that included all required names and contact information for essential personnel and service partners, as well as a structured communication process to support emergency response efforts.

The agency failed to develop and maintain an emergency preparedness training and testing program that included all required components and staff participation across all locations.

The agency failed to ensure the timely submission of OASIS assessments to the CMS system.

The agency failed to ensure that plans of care were properly established, signed by the physician, and fully implemented as ordered.

The agency failed to ensure that a physical therapist followed accepted standards of practice during the provision of home care services.

The agency failed to maintain documentation of written competency evaluations for home health aides.

The agency failed to ensure that home health aides received and documented 12 hours of in-service training annually.

The agency did not initiate home health services within 48 hours of referral or on the physician-ordered start date, as required.

The agency failed to ensure the consistent participation of home health aides in case conferences, as required to maintain communication and a coordinated plan of care.

The parent HHA failed to provide adequate oversight and supervision to ensure that its branch locations complied with the emergency preparedness requirements outlined in the Conditions of Participation.

The agency's skilled nurse (SN) failed to complete an assessment of the patient's wound.

The agency's staff failed to adhere to the patient's written plan of care (POC) for ordered treatments and ordered visit frequencies.

The agency's administration failed to ensure that an assessment of the patient by nursing or rehabilitation therapy occurred within 48 hours of referral for 3 out of 15 patients.

The skilled professionals (SPs) did not perform a complete patient assessment for 2 out of 7 patients observed.

The agency's skilled professional (SP) did not provide 1 out of 1 newly admitted patient with the required patient rights information.

The agency's skilled professionals (SP) failed to provide all services ordered on the patient's plan of care for 4 out of 17 records reviewed.

The skilled profession (SP) failed to notify the patient's physician of abnormal assessment findings for 3 out of 17 records reviewed.

The skilled professionals (SPs) failed to provide appropriate teaching to the patients and/or the patient's caregivers for 1 out of 7 patient observations.