Centerwell Home Health

The agency staff failed to ensure their efforts were coordinated effectively and timely with patient’s family in order to support the objectives outlined in the plan of care for one patient (P) (P#3) of four sampled patients.

The agency failed to provide services as ordered by the physician in the plan of care for one patient (P) (P#3) of four sampled patients.

The agency failed to electronically transmit monthly Outcome and Assessment Information Set (OASIS) data collected to the CMS system every 30 days.

The agency failed to ensure that staff treated all patients and their property with respect for 1 of 5 (#1) sampled patients (P).

The agency failed to ensure that appropriate care and services were provided in conformance with the patients' plans of care as ordered by physician for 1 of 5 (#4) sampled patients (P).

The personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for one of four (#4) sampled patients.

The agency failed to ensure that clinical records contained clear, complete, and accurate documentation and orders in the record for two of four (#1 and #4) sampled patients.

The agency staff failed to conduct an initial assessment within 48 hours of referral or on the physician ordered start of care date for 6 of 17 ( #4, #6, #12, #14, #16, and #17) sampled patients (P).

The agency failed to include orders to cover all pertinent diagnoses to ensure the patients' identified needs were addressed and failed to ensure disease specific treatments/interventions were included on plans of care/treatment for 3 of 17 (#1, #2, and #9) sampled patients.

The agency staff failed to ensure treatments were administered only as ordered by the physician for 1 of 17 (#10) sampled patients (P).

The agency failed to ensure that care and services were provided in conformance with the patients' plans of care/treatment as ordered by physicians for 6 of 17 (#1,#4, #6 #7, #8, and #9) sampled patients (P).

The agency failed to ensure an updated comprehensive assessment was done at the time of the patient's discharge for patients two of four sampled patients (P) (P#2, and P#3 ) requiring a discharge OASIS (Outcome and Assessment Information Set) assessment.

The agency failed to provide services as ordered by the physician in the plans of care for one out of three sampled Patient (P#1).

The personnel who provided services failed to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care/treatment for one out of three sampled Patient (P#1).

The agency staff failed to ensure the home health aide care plan was written to provide clear instructions for the provision of care to meet the current patient needs for 1 of 4 sampled patients requiring home health aide services (#6).

The agency failed to ensure the patients' individualized plan of care included all of the required elements to address the patients' needs for 10 of 17 (#2, #3, #5, #6, #7, #8, #9, #10, #11, and #12) sampled patients.

The agency failed to ensure the plans of care which contains verbal orders were reviewed and signed by the physician within the required 30 day time frame for 6 of 17 (#2, #6, #9, #13, #15, and #17) sampled patients.

Personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for 1 of 17 (#12) sampled patients.

The agency failed to ensure the clinical records included all interventions and responses to the interventions in accordance with professional standards for 3 of 13 (#2, #8, and #11) sampled patients.