Centerwell Home Health

The home health agency failed to ensure the patient's written individualized POC (Plan Of Care) was followed as evidenced by the SN (Skilled Nurse) failing to make visits as ordered per the POC for 1 (#11) out of 13 (#1-#13) sampled patients.

The home health agency failed to coordinate care delivery to meet the patient's needs as evidenced by the agency nurse failing to inform the physician that the patient’s blood glucose (sugar) readings were not being performed by the patient/caregiver to ensure results were within parameters for 2…

The SN (Skilled Nurse) failed to educate the patient (Patient #1) and her caregiver on the use of a glucometer machine to ensure monitoring of the patient’s glucose levels for 1 (#1) out of 13 sampled patients.

The agency failed to ensure the patient’s written POC (plan of care) was followed as evidenced by failing to: weigh Patient #5 in order to assess for weight gain, andconduct SN (skilled nurse) visits as ordered for Patient #12. This occurred for 2 (#5, #13) out of a sample of 13 (#1-#13) patients.

The SN (skilled nurse) failed to conduct a medication review of the patient’s medication during a home visit for 1 (Patient #6) out of 5 (#5, #6, #7, #8 #9) patients who were observed during home visits.

The Provider failed to provide services that were ordered by the physician as indicated in the plan of care as evidenced by failing to ensure a means to determine weight loss for 1 (Patient #8) of 13 sampled (#1-13), of a total census of 195 patients.

The agency failed to ensure each patient receive the home health services that were written in an individualized plan of care as evidenced by the following: 1. No documentation for Patient #10, who was diagnosed with Heart Failure, of weights obtained during the skilled visits and no documentation…

The agency failed to follow accepted infection control practices and transmission-based precautions to help to prevent and control the spread of an infectious communicable disease (COVID-19), as evidenced by an observation made on 9/23/2020 upon entrance to the agency of no screening process of…

The agency's staff failed to review all medications Patient #1 was currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug…

The agency failed to assure communication with the physicians involved in the plan of care as evidenced by: 1. No evidence found in Patient #10's medical record concerning the facility's staff obtaining a response from a fax to the patient's physician concerning the finding of the patient's…

The agency's staff failed to perform an assessment of Patient #5's lower extremities and feet, a patient who has a diagnosis of Diabetes Mellitus Type 2, as evidenced by an observation made on 9/24/2020 of S5RN failing to perform the assessment of the patient's lower extremites and feet during the…

The agency failed to ensure each patient and caregiver received education for 1 patient (Patient #13) on Incentive Spirometry to be conducted postoperatively, and on diabetic foot care for 1(Patient #17) of 7 (#1, #2, #3, #7 #9, #14, and #17) diabetic patients reviewed, out of a total sample of 17…

The agency failed to have accurate documentation by the skilled nurse on the Visit Note Report for 1 (#10) patients out of a total sample of 17 (#1-17) patient records reviewed.