Centerwell Home Health

The home health provider failed to provide an initial assessment visit within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner ordered start of care (SOC) date in four of six full records reviewed (Records/Patients #2, #3, and #4).

The home health provider failed to ensure an accurate and updated medication profile was included in the patient record in three of three home visits conducted (Records/Patients #1, #2, and #3).

The home health provider failed to ensure all orders were included in the plan of care (POC) in one of six full records reviewed (Record/Patient #1).

The agency failed to conduct the initial assessment of the patient within 48 hours of the referral to home care, or 48 hours after the patient's return home, or on the physician ordered start of care date in four (Records/Patients #2, #3, #4 and #5) of five full records reviewed.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in three (Records/Patients #1, #2, and #3) of three home visit observations.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all required elements in one (Record/Patient #3) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in one (Record/Patient #3) of five full records reviewed.

The agency failed to ensure staff provided the patient and/or caregiver with a copy of written instructions outlining the patient’s medication schedule/instruction, including the medication name, dosage and frequency in one (Record/Patient #2) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions of any treatments being administered by the agency and personnel acting on behalf of the HHA (home health agency) in one (Record/Patient #1) of three home visit observations.

The agency failed to ensure that the comprehensive assessment included a complete and accurate review of the patient's medication regimen by the registered nurse (RN) in, but not limited to, one (Record/Patient #2) of six charts reviewed.

The agency failed to ensure that all clinical staff provided services as ordered in the plan of care (POC); and/or failed to coordinate services regarding updates to the POC in, but not limited to, two (Records/Patients #4 and #6) of six records reviewed.