Federal Recertification Survey Survey Dates: 10/12/2022 to 10/14/2022 CenterWell Home Health, a Home Health Agency, is in substantial compliance with 42 Code of Federal Regulations Part 484.22 Condition of Participation: Emergency Preparedness. However, the following standard level deficiency was identified:
Every finding on record at Centerwell Certified Healthcare Corp.
Bangor, Maine · CCN 207045
3 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of October 14, 2022
3 findingsNames and Contact Information CFR(s): 484.102(c)(1) §403.748(c)(1), §416.54(c)(1), §418.113(c)(1), §441.184(c)(1), §460.84(c)(1), §482.15(c)(1), §483.73(c)(1), §483.475(c)(1), §484.102(c)(1), §485.68(c)(1), §485.625(c)(1), §485.727(c)(1), §485.920(c)(1), §486.360(c)(1), §491.12(c)(1), §494.62(c)(1). [(c) The [facility must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years [annually for LTC facilities]. The communication plan must include all of the following:] (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [facilities]. (v) Volunteers. *[For Hospitals at §482.15(c) and CAHs at §485.625(c)] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [hospitals and CAHs]. (v) Volunteers. *[For RNHCIs at §403.748(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Next of kin, guardian, or custodian. (iv) Other RNHCIs. (v) Volunteers. *[For ASCs at §416.45(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For Hospices at §418.113(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Hospice employees. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Other hospices. *[For HHAs at §484.102(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For OPOs at §486.360(c):] The communication plan must include all of the following: (2) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Volunteers. (iv) Other OPOs. (v) Transplant and donor hospitals in the OPO's Donation Service Area (DSA). This STANDARD is not met as evidenced by: Based on document review and interviews the agency failed to include in their communication plan the names and contact information for the patients physicians. Findings: A review of the Emergency Preparedness Policy last reviewed 09/2022 stated in part, " 2. An Emergency Preparedness Plan has an emergency preparedness communication plan that complies with Federal, State and local laws. It includes: Names and contact information for: Patients' physicians'/allowed practitioners..." A review of the Emergency Communication Plan last reviewed 09/2022 stated in part, "1. Names and Contact information for the following:...Patients' Physicians'..." On 10/13/20222 at 2:00 PM during an interview with the Branch Manager he confirmed that their communication plan did not include patient's physicians' names and contact information.
Recertification Survey Review of Coronavirus 2019 ("COVID-19) Vaccination of Facility Staff Requirements Survey Dates: October 12, 13, and 14 2022 Centerwell Home Health, a Home Health Agency, is in substantial compliance with 42 Code of Federal Regulations Part 484, Conditions of Participation for Home Health Agency and the Coronavirus 2019 ("COVID-19") Vaccination of Facility Staff Requirements.
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Federal survey findings only. State licensure findings for home health agencies are not shown.
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