Centra Home Health

The agency failed to ensure accurate and complete medication lists were documented in one (1) of (17) clinical records reviewed in the survey sample (Clinical records for Patient #: 1).

The agency failed to ensure the physician was notified of the patient's condition that may suggest outcomes are not being met or changes are needed in the plan of care.

The agency staff failed to follow the plan of care for two (2) of 17 patients whose clinical records were reviewed in the survey sample (Clinical records #6 and #10).

The agency failed to follow accepted standards of practice related to infection control and prevention; and failed to mitigate the risk of COVID-19 transmission.

The agency failed to provide a Notice of Medicare Non-Coverage (NOMNC) to Medicare patients in advance of terminating care for one (1) of two (2) patients whose closed/discharge clinical record was reviewed in the survey sample for which a NOMNC was applicable.

The agency failed to ensure the patient's individualized plan of care included evidence the patient participated in goal setting and/or agreed with goals identified by the Home Health Agency for 17 of 17 patients whose clinical records were reviewed in the survey sample (Clinical records: #1-#17)…

The agency failed to ensure home health services were provided according to the patient's individualized plan of care for two (2) of 17 clinical records in the survey sample (Clinical records: #4 and #10) Findings: Seventeen clinical records were reviewed in the agency on 3/6/2018 and 3/7/2018 with…

The agency failed to document informing clients verbally and in writing regarding the frequency of proposed visits for two (2) of 17 clinical records reviewed in the survey sample (Clinical record #'s 2, and 13).

The agency failed to document informing clients verbally and in writing regarding the financial liability for one (1) of 17 clinical records reviewed in the survey sample (Clinical record # 7).

Agency staff failed to ensure patients were advised of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: (1) Agency on Aging, (2) Center for Independent Living, (3) Protection and Advocacy Agency…

The agency failed to document measurable outcomes/goals identified by the home health services and the patient's risk factors for emergency department visits and hospital re-admissions according to the plans of care for 12 of 17 clinical records reviewed in the survey sample admitted on or after…

Agency staff failed to ensure patients were advised of the name and contact information of the Home Health Agency's clinical manager for five (5) of five (5) patients admitted on or after 01/13/2018. Findings: Seven (7) home visits were conducted on 03/06/2018 between the hours of 9:00 a.m. and…

The agency failed to ensure each patient receiving home health aide services received a supervisory visit by the registered nurse or other skilled professional no less frequently than every 14 days for one (1) of two (2) clinical records in the survey sample.

The governing body failed to appoint an administrator to the home health services.

The governing body and administrator failed to appoint an alternate administrator to the home health services.

The agency failed to document the patient's progress toward outcomes and goals specified in the plans of care for 12 of 12 clinical records in the survey sample admitted on or after 01/13/2018. (Clinical records: #1, #2, #3, #4, #5, #11, #12, #13, #14, #15, #16 and #17).