Every finding on record at Centerwell Certified Healthcare Corp.

Based on the findings of an unannounced, onsite Medicare recertification survey conducted February 27 through March 2, 2023, Centerwell Home Health was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies-Emergency Preparedness.

Based on the findings of an unannounced, onsite Medicare recertification survey conducted February 27 through March 2, 2023, Centerwell Home Health was found not to be in compliance with the following requirement of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Patients receive education and training CFR(s): 484.60(d)(5) Ensure that each patient, and his or her caregiver(s) where applicable, receive ongoing education and training provided by the HHA, as appropriate, regarding the care and services identified in the plan of care. The HHA must provide training, as necessary, to ensure a timely discharge. This ELEMENT is not met as evidenced by: Based on review of agency policies/procedures and clinical records, and based on interview with the Area Vice President (AVP) and the Administrator (Admin), the agency failed to ensure discharge planning was documented in the clinical record for three (3) of three (3) active patients who were discharged from therapy services. (Patients #10, #11 and #12) Findings include: On March 2, 2023 at approximately 2:23 PM, review of agency policy/procedure 03-25, titled "Discharge or Transfer" revealed the following as documented under "Discharge Planning": The patient/caregiver must understand and participate in discharge planning... Patient #10: On March 2, 2023 at approximately 11:40 AM, review of the clinical record revealed occupational therapy (OT) therapy services were to be provided one (1) time a week for four (4) weeks as documented on the therapy re-evaluation assessment dated 01/25/2023. Review of OT therapy visit notes revealed OT services were provided by Employee #3 on 02/03, 02/10 and 02/17/2023. The final OT visit was performed on 02/24/2023 at which time the patient was discharged from OT services. There was no documentation in the clinical record which provided evidence that the OT (Employee #3) provided discharge planning on 02/03, 02/10 nor 02/17/2023. Patient #11: On March 2, 2023 at approximately 12:16 PM, review of the clinical record revealed OT therapy services were to be provided one (1) time a week for three (3) weeks and that physical therapy (PT) services were to be provided one (1) time a week for one (1) week, then two (2) times a week for one (1) week, followed by one (1) time a week for three (3) weeks as documented on the "Home Health Certification and Plan of Care for the initial certification period of 01/29/2023 through 03/29/2023. Review of OT therapy visit notes revealed OT services were provided by Employee #3 on 01/30 and 02/06/2023. The final OT visit was performed on 02/16/2023 at which time the patient was discharged from OT services. There was no documentation in the clinical record which provided evidence that the OT (Employee #3) provided discharge planning on 01/30 nor 02/06/2023. Review of PT therapy visit notes revealed PT services were provided by Employee #4 on 01/31, 02/07, 02/09 and 02/14/2023. The final PT visit was performed on 03/01/2023 at which time the patient was discharged from PT services. There was no documentation in the clinical record which provided evidence that the PT (Employee #4) provided discharge planning on 01/31, 02/07, 02/09 nor 02/14/2023. Patient #12: On March 2, 2023 at approximately 12:30 PM, review of the clinical record revealed occupational therapy (OT) therapy services were to be provided one (1) time a week for four (4) weeks as documented on the interim physician order dated 01/30/2023. Review of OT therapy visit notes revealed OT services were provided by Employee #3 on 01/30, 02/09 and 02/16/2023. The final OT visit was performed on 02/23/2023 at which time the patient was discharged from OT services. There was no documentation in the clinical record which provided evidence that the OT (Employee #3) provided discharge planning on 01/30, 02/09 nor 02/16/2023. During interview conducted on March 2, 2023 at approximately 2:33 PM, the AVP and the Admin confirmed there was no documentation in the clinical record which provided evidence that the above referenced OT and PT (Employees #3 and #4) provided discharge planning during the visits prior to therapy discharge visit for the above identified patients.