Centerwell Home Health

The agency failed to ensure an accurate reconciliation of medication was completed for 1 (Patient #2) of 4 sampled patients reviewed for medication reconciliation during home visits.

The agency failed to ensure a patient’s physician was alerted to the patient’s change in condition for 1 (Patient #3) of 10 sampled patients reviewed for change in condition requirements.

The agency failed to ensure the registered nurse measured the patient’s wound weekly to assess for wound healing status for 3 (Patient #1, Patient #6, Patient #10) of 4 sampled patients reviewed for weekly wound care measurements.

The agency failed to ensure the patient’s Outcome and Assessment Information Set) OASIS was accurately documented for skin conditions for 1 (Patient #10) of 13 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, Patient #7, Patient #8, Patient #9, Patient #10, Patient #11…

The agency failed to: 1. Ensure a physical therapy (PT) evaluation was completed timely (Patient #1); 2. Ensure the patient received skilled nursing services per physician orders (Patient #10); and 3. Ensure the patient received speech therapy services per physician orders (Patient #11).

The agency failed to ensure agency-wide surveillance for the identification and prevention of all infections for 2 (Patient #1 and Patient #5) of 2 (Patient #1 and Patient #5) sampled patients identified as having infections reviewed during the infection control review in a total sample of 13.…

The agency failed to ensure an accurate medication reconciliation was completed during visits for 1 (Patient #4) of 5 (Patient #1, Patient #2, Patient #3, Patient #4, and Patient #5) sampled patients which home visit observations were conducted to review accurate medication reconciliation in a…

The agency failed to notify the physician when the patient had a vital sign out of parameters for 1 (Patient #1) of 13 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, Patient #7, Patient #8, Patient #9, Patient #10, Patient #11, Patient #12, and Patient #13) sampled…

The agency failed to: 1. Notify the physician of purulent (infection) drainage from a wound for 1 of 5 patients with wounds (Patient #11); and 2. Notify the physician of a patient having right eye pain and change in vision for 1 of 17 patients reviewed for changes in conditions (Patient #11).

The agency failed to: 1. Ensure the nursing staff accurately assessed a CHF (Congestive Heart Failure) patient for fluid retention for 1 of 3 patients with CHF (Patient #2); and 2. Ensure the registered nurse measured wounds weekly for 1 of 5 patients with wounds (Patient #11) Findings: Patient #2…