Centerwell Home Health

The agency failed to provide patients with notice of their rights prior to admission for two (#9 and #11) patients out of a sample of seven home visits conducted.

The agency failed to ensure patients received appropriate notification regarding the agency's transfer and discharge policy for two (#9 and #11) patients out of seven home care visits conducted.

The facility failed to ensure the start of care was initiated within 48 hours of the referral for two of 17 patients sampled, Patients #15 and #17. The findings include: 1. A review of patient #17’s medical record revealed the agency received a referral for the patient to receive home health…

The agency failed to notify the physician of a significant change in condition for one (#8) patient out of seven patients sampled during home care visits.

The agency failed to ensure that all orders for a peripherally inserted central catheter (PICC) were integrated into the plan of care (POC) for one (#11) patient out of 1 sampled with a PICC line from a total of seven home visits.

The agency failed to provide a written visit schedule for each discipline providing services for four (#8, #9, #10, #11) patients out of seven patients sampled during home care visits.

The agency failed to provide written information regarding the patient's correct medication regime for four (#8, #9, #10, and #11) out of seven patients sampled during seven home visits.

The agency failed to ensure that professional standards of practice were followed during a high-tech procedure for removing a PICC line for one (#11) patient out of a sample of one with a PICC line from seven home visits.

The Agency failed to submit Discharge/Transfer Oasis Assessments to Centers for Medicare and Medicaid Services (CMS) within 30 days of completion for 6 of 10 sampled patients, Patients #s 8, 9, 10, 11, 20, & 22. The findings include: Patient #8 had a Start of Care (SOC) of 6/7/2017. Record review…

The Agency failed to conduct case conferences per policy for 3 of 17 sampled patients, Patient #s 15, 2 & 17. The findings include: 1. Patient #15 had a Start of Care of 7/8/2016. The latest Recertification Period was on 2/28/2018 - 4/28/2018. There was no Case Conference Note in the clinical…

The Agency failed to ensure that a Registered Nurse completed a Home Health Aide (HHA) Plan of Care prior (PoC) to care for 3 of 4 sampled patients, Patient #s 13, 14, and 2. The findings include: 1. Patient #13 had a Recertication Oasis on 3/30/2018. There were physicians' orders for a HHA 2 times…

The Agency failed to conduct an initial start of care assessment within 48 hours of a referral for Patient #s 11, 7, and 12. The findings include: 1. Patient #11 had a 4/12/2017 referral and the SOC was not until 4/19/2017. There was no documentation of any attempts to contact the patient from…

The Agency failed to review medications for 2 of 17 sampled patients, Patient #s 16 & 17. The findings include: 1. Patient #16 had a 3/26/2018 Start of Care (SOC) for skilled nursing visits for treatment of an abdominal surgical site infection.

The Agency failed to perform an Oasis Discharge/Transfer within 48 hours of discharge, or when becoming aware of the event for Patient #s 8, 10, 12, and 19, 4 of 10 sampled patients.

The agency failed to promptly notify the physician for change in condition related to pain for 1 of 23 sampled patients.

The agency failed to obtain complete wound treatment orders upon the start of care to provide adequate wound care for 1 of 23 sampled patients.

The agency failed to provide required hours of care and services as per the Plan of Care (POC) for 1 of 23 sampled patients.

The Agency failed to ensure that a Supervisory Visit for a HHA was conducted at least every 14 days for 1 of 2 of sampled patients, Patients #14. The findings include: Patient #14's latest Certification Period for the period 2/13/2018 to 4/13/2018 had orders for HHA services 2 times a week for 9…

The Agency failed to document services provided to a patient for an abnormal vital sign (heart rate/pulse) for 1 of 17 sampled patients, Patient #16. The findings include: Patient #16 had a 3/26/2018 Start of Care (SOC) for skilled nursing visits for treatment of an abdominal surgical site…