Centerwell Home Health

The Skilled Nurse (SN) failed to include a wound assessment as part of the comprehensive assessment with the patients recertification visit in 1 of 1 (#13) Clinical Record Reviewed.

The Agency failed to review and update on an annual basis the emergency preparedness plan, policies and procedures, all-hazards risk assessment and failed to conduct and/or participate in a tabletop or community-based exercise as evidenced by: 1. Failing to maintain, review and update the Agency's…

The Agency failed to ensure medications for patients with a Plan of Care containing Physician orders for therapy services only were reviewed by an Agency nurse as part of the Comprehensive Assessment as evidenced by: 1. Failing to ensure a nurse review all medications as part of the Comprehensive…

The Agency failed to maintain an emergency preparedness plan that was reviewed and updated annually.

The Agency failed to conduct and update the Agency-based and community-based risk assessment utilizing an all-hazards approach including strategies for addressing emergency events identified by the risk assessment.

The Agency failed to review and update at least annually emergency preparedness policies and procedures.

The Agency failed to conduct and/or participate on an annual basis in a tabletop or community-based exercise in order to analyze the Agency's emergency preparedness program . The noncompliance identified did not test the Agency's emergency plan and had the potential to affect all 298 patients…

The Agency failed to ensure there was an effective process to provide written information specific to the patients Plan of Care (POC) to patients or caregivers in 6 (#11- # 14 and #16 - #17) of 7 (#11 - #17) home visits conducted.

The Registered Nurse (RN) failed to ensure written instructions for the Aide regarding the patients personal care activities were specific and individualized in 1 (#14) of 5 (#5, #6, #10, #14, and #17) Clinical Records reviewed with Aide services ordered.

The Agency failed to ensure a nurse conducted a review of medications in 5 (#2, #4, #6, #7 and #11) of #5 (#2, #4, #6, #7 and #11) or 100% of a case mix of therapy only patients.

The Agency's Physical Therapy (PT) staff failed to communicate patient related assessment findings to the Registered Nurse (RN) in 2 (#6 and #7) of 5 (#2, #4, #6, #7 and #11) Clinical Records for a case mix of therapy only and the Registered Nurse (RN) failed to conduct ongoing assessments which…

The Agency failed to ensure all required personnel record elements were maintained and current specific to Competency Assessments in 2 (#1, and #17) of 18 (#1 - #18), Job Specific Orientation and receipt of Agency policies in 3 (#3, #13, and #14) of 18 (#1 - #18), Aide Training Certificates in 1…

The Agency staff failed to ensure current and accurate documentation of medications, Supervisory Aide Visits (SAV), care coordination, wound assessment and vital signs in 6 (#2, #5, #6, #10, #13 and #17) of 17 (#1 - #17) Clinical Records reviewed.

Staff interview the Agency failed to ensure a complete Discharge/Transfer Summary was sent to the Physician after discharge or to the Facility upon patient transfer in 4 (#1, #2, #5,and #7) of 6 (#1 - #5, and #7) Clinical Records reviewed with transfer/discharge status.