Centerwell Home Health

The home health provider failed to ensure that each patient received the home health services that were written in the individualized plan of care (POC), in one of five records reviewed (Record/Patient #2).

The home health provider failed to ensure that all medications the patient was taking were current in two of three home visit observation records reviewed (Records/Patients #1 and #3).

The home health provider failed to ensure clinicians promptly notified the patient's physician/allowed practitioner of any changes in the patient's condition or needs that suggested that outcomes were not being achieved and/or that the plan of care should be altered in one of five full records…

The home health provider failed to ensure the clinicians integrated services to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines in one of five full records reviewed…

The home health provider failed to: -Ensure patients received services as ordered by the physician (G572); -Develop a complete, individualized Plan of Care (G574); -Promptly alert the physician to changes in the patient’s condition (G590); -Develop a complete revised POC (G592); and -Provide…

The home health provider failed to: -Ensure ongoing interdisciplinary assessment of the patient (G706); -Provide services which were ordered by the physician (G710); and -Provide patient and caregiver education (G714).

The home health provider failed to ensure that all visits were performed according to the individualized plan of care for the patient in one of six full records reviewed (Record/Patient #1).

Survey report form 1572 and interview the home health provider failed to ensure that their qualifying service for Medicare was provided in its entirety by the provider’s own employees.

The home health provider failed to ensure the comprehensive assessment accurately reflected the patient's status in one of six full records reviewed (Record/Patient #2).

The home health provider failed to ensure staff maintained an accurate/updated medication profile for two of six full records reviewed (Records/Patients #2 and #6).

The home health provider failed to ensure staff developed a complete/individualized plan of care (POC) in four of six full records reviewed (Records/Patients #1, #2, #5, and #6).

The home health provider failed to ensure staff notified the physician of a change in condition that could alter the plan of care (POC) in two of six full records reviewed (Records/Patients #1 and #2).

The home health provider failed to ensure staff developed a complete revised plan of care (POC) after a hospitalization in one of six full records reviewed (Record/Patient #2).

The home health provider failed to ensure the patient received pertinent written instructions in one of three home visit observations (Record/Patient #2).

The home health provider failed to ensure staff documented ongoing assessments in two of six full records reviewed (Records/Patients #2 and #4).

The home health provider failed to follow the physician ordered plan of care (POC) in three of six full records reviewed (Records/Patients #1, #2, and #6).

The home health provider failed to ensure the skilled nurse (SN) documented patient/caregiver education regarding percutaneous endoscopic gastrostomy (PEG; a procedure to place a feeding tube is passed into a patient’s stomach through the abdominal wall to provide nutrition) tube feeding procedures…

The home health provider may not train, or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The home health provider failed to ensure that supervisory visits were conducted for the home health aide (HHA) in one of six full records reviewed (Record/Patient #1).

The agency failed to ensure an accurate medication reconciliation was completed in, but not limited to, three (Records/Patients #1, #2, and #3) of three home visits performed.

The agency failed to provide/send a completed transfer summary within two business days of becoming aware of an unplanned transfer in one (Record/Patient #5) of one closed record reviewed.