Centerwell Home Health

The agency failed to ensure that Skilled professionals (nursing and physical therapy services) that provide services to Home Health Agency (HHA) patients communicate and are supervised to ensure coordination of care.

The agency failed to ensure that pertinent patient services, treatments and weights are performed in conformance to the Physician's Order.

The agency failed to ensure Skilled Nursing and Physical Therapy Professionals services are delivered and supervised only by health care professionals who meet the qualifications and practice according to the agency's established policies and procedures, with regards to assessments.

The agency failed to ensure that communication and oversight exist between the skilled professional and assistant regarding the patient's status, the patient's response to services furnished by the assistant, and the effectiveness of any written instructions provided by the skilled professional to…

The agency failed to develop and implement a comprehensive patient complaint procedure to include all of the required elements.

The agency failed to ensure that patients are advised of the frequencies of all services to be furnished at the start of care.

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in eight (8) of seventeen (17) records (Patients #5, #7, #8, #10, #12, #13, #14, and #15).

(Patients #4, #7 and #16) Failure to consult with the physician when changes occur in the patient's condition has the potential for negative patient outcomes.

The agency failed to ensure ongoing interdisciplinary assessments and communication between all skilled professionals to meet the patient's needs and goals.

The agency failed to ensure clinicians prepare and document complete and accurate clinical and progress notes that reflect the current patient's status.

The agency failed to ensure that Licensed Practical Nurses (LPN) are working within the scope of practice and services are provided under the supervision of a Registered Nurse.

The agency failed to ensure that Physical Therapy Assistants ( PTA) are supervised by a skilled Physical Therapy professional for the assistant's respective therapy type.

The agency failed to ensure that pertinent patient services, treatments and weights are performed in conformance to the Physician's Order.

The Agency failed to ensure the Plan of Care (POC) was reviewed and revised to reflect the patient's current needs.

The agency failed to ensure the Skilled Nurse (SN) assumed professional responsibilities for continuity of patient care treatments.

The agency failed to ensure that patients are advised of any changes in the care to be furnished after the case has been initiated.

The agency failed to ensure that comprehensive assessments include complete assessments of patients' medication regimens.

The Agency failed to ensure that a comprehensive assessment for recertification was completed within the last 5 days of the current 60 day certification period.

The agency failed to ensure a Discharge OASIS (Outcome Assessment) was completed for all discharged patients.

The agency failed to establish individualized Plans of Care to include pertinent patient medications and treatments.

The Agency failed to ensure the coordination of care provided by the disciplines to ensure the integration of services, identification of patient needs and treatment continuity and effectiveness.

The Agency failed to ensure communication with the patient's Physician related to the current Plan of Care.