Centerwell Home Health
Inspection 2020-02-06
· Recertification, Sample Validation · 15 deficiencies · CMS source report (PDF)The agency failed to ensure the staff provided treatments as ordered by the physician, established time frames for goals, notified the physician of changes in the patient condition, verbal orders were obtained by appropriate discipline, and provided appropriate discharge planning.
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The agency failed to ensure the staff provided education to patients/ caregivers as ordered by the physician for patient treatments and completed accurate documentation.
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The agency failed to ensure the data collected for the Outcome and Assessment System Information Set (OASIS) was accurate when documenting the Diagnoses Onset or Exacerbation dates.
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The agency staff failed to: 1. Follow the ordered visit frequency for Physical Therapy (PT), Occupational Therapy (OT), Speech Therapy (ST), and Skilled Nurse (SN) visit frequency.
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The agency failed to ensure the SN (Skilled Nurse): 1. Performed and documented IV (Intravenous) access via port and flush according to the physician's order for 1 of 1 records with a vascular access device (VAD).
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The agency failed to ensure: 1. Hepatitis B vaccine was offered to 1 of 1 contracted employees.
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The agency failed to ensure contracted MSW (Masters of Social Work) was oriented to the agency policies.
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The agency failed to ensure medications were reconciled for 4 of 7 home visits (HV) conducted.
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The agency failed to ensure verbal orders were received by a qualified staff member.
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Staff failed to notify the physician of change in the patient's condition which included the following: 1. Weight gain/ loss.
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The agency failed to ensure the staff provided discharge planning prior to discharge from the agency.
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The agency failed to ensure: 1. The patient (pt) and/or caregiver (cg) was provided education on the discontinuation of IV (intravenous) fluids and provided a return demonstration to ensure competency.
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The agency failed to ensure medical record documentation was complete and accurate with all treatments which included: 1. Access of an infusaport with the initiation of Normal Saline (NS) IV (intravenous) infusion.
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The agency failed to ensure the Home Health Aide (HHA) reported changes in the patients condition to the Registered Nurse.
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The agency failed to ensure the Home Health Aide (HHA) supervision was completed every 14 days.
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