Every finding on record at Centerwell Certified Healthcare Corp.

*EMERGENCY PREPAREDNESS* Survey conducted on 07/28-30/2025 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No violations identified.

*MERIDIAN* The Medicare Recertification survey conducted 07/28-30/2025 revealed the facility has met all Medicare Conditions of Participation for Home Health Agencies. However, Standard level deficiencies were identified as follows..... ______________

Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This STANDARD is not met as evidenced by: Based on staff interview, review of the facility job aide, review of the facility report “HHA Error Summary by Agency”, the facility failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for 31 patients in the past 12 months: 07/26/2024-07/26/2025. Findings Include: During an interview on 07/29/2025 at 11:20 a.m., the Branch Director revealed she was aware of the 30-day submission requirement for the OASIS comprehensive Assessment Reports and that late submissions show when she runs the report. She further confirmed that the late submissions seem to be due to the OASIS report being reopened during the certified period for reasons like insurance cover changes. Review of the facility’s Internet Quality Improvement and Evaluation (iQIES) Report, “HHA Error Summary by Agency” for the report period of 07/26/2024-07/26/2025 revealed, “…Error # -3330…record submitted late: the submission date is more than 30 days after M0090 on this new record…# of assessments with error 31…% of assessments with error 0.71%...”. Review of the facility job aide titled, “QAO (Quality Assessment Only) and OASIS Timely Submission” dated 04/2024 revealed, “…1. Submit “timely” OASIS assessments defined as within 30 days of M0090…”. During the Exit Conference on 07/30/2025 at 4:00 p.m. with the Branch Director, and Registered Nurse Managers #1 and #2, survey findings were discussed, and no further documentation was submitted for review