Every finding on record at Centerwell Certified Healthcare Corp.

An Emergency Preparedness Survey was conducted on 5/27/2025-5/29/2025 at CenterWell Home Health. No deficiencies were cited under 42 CFR 484.102.

An recertification survey was conducted on 5/27/2025-5/29/2025 at CenterWell Home Health. Deficiencies were cited under 42 CFR Part 484, Requirements for Home Health Agencies.

Receive all services in plan of care CFR(s): 484.50(c)(5) Receive all services outlined in the plan of care. This ELEMENT is not met as evidenced by: Based on agency policy, medical record review and interview, the agency failed to follow the frequency of services necessary to meet the specific patient and family needs listed in the plan of care for 1 patients (#9) of 14 patients reviewed. The findings include: Review of the agency policy titled, "Management of Missed Visits," reviewed 7/18/2022 revealed “...The agency will make every effort to follow the patient’s plan of care including the physician ordered visit frequency and duration...” Medical record review showed Patient #8 was admitted to the agency on 6/26/2024 with diagnoses of Sepsis, Congestive Heart Failure, and Diabetes Mellitus. Medical record review of the plan of care (POC) for Patient #8 recertification period 8/25/2024-10/9/2024 showed, "...OT (Occupational Therapist) 2WK (week) 2...to evaluating the home environment for accessibility and safety...” Medical record review of Patient #8's visit calendar revealed no Occupational Therapist visit for weeks 8/25/2024, 9/1/2024, 9/8/2024, and 9/15/2024 had been missed. During an interview on 5/28/2025 at 2:20 PM the Administrator confirmed the Occupational Therapist had missed visits for weeks 8/25/2024, 9/1/2024, 9/8/2024, and 9/15/2024 for Patient #8 and the agency failed to follow the plan of care for visit frequencies.

An Emergency Preparedness survey was conducted from 3/29/2022 to 3/31/2022 at Kindred at Home. No deficiencies were cited under CFR Part 484.22 Condition of Participation for Home Health Agencies.

A Recertification survey was conducted on 3/29/2022 to 3/31/2022. Deficiencies were cited under CFR Part 484, Requirements for Homecare Organizations Providing Home Health Care.

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on medical record review and interview, the agency failed to conform with physician’s orders for 2 patients (#3 and #5) of 17 patients reviewed. The findings included: Medical record review revealed Patient #3 was admitted to the agency on 10/23/21 with diagnoses including Acute Kidney Failure and Congestive Heart Failure. Medical record review of the Home Health Certification and Plan of Care (485) dated 2/20/22 to 4/20/22 revealed a physician’s order for “...Skilled Nurse...to obtain weight each visit...” Further review revealed “...Skilled nurse to report weight gain of 2-3 lbs (pounds)/day or 5 lbs/wk (week)...” Medical record review of skilled nursing notes dated 2/22/2022, 3/2/2022 and 3/22/2022 revealed no documentation weights were obtained by the skilled nurse. Interview with the administrator on 3/31/2022 at 9:30 AM confirmed weights were not obtained during skilled nurse visits on 2/22/2022, 3/2/2022 and 3/22/2022. Medical record review revealed Patient #5 was admitted to the agency on 2/18/2022 with diagnoses including Acute Respiratory Failure and Malignant Neoplasm of Lung. Medical record review of the 485 dated 2/18/2022 to 4/18/2022 revealed a physician’s order for “...Skilled nurse to obtain weight each visit and report to MD (physician) an increase of 5 lb or greater...” Medical record review of skilled nurse’s notes revealed a weight was obtained on 2/18/2022 (admission), however no documentation weights were obtained during skilled nurse visits on 2/23/2022, 3/1/2022, 3/8/2022, 3/15/2022 and 3/22/2022. Interview with the administrator on 3/31/2022 at 9:30 AM confirmed weights were not obtained by the skilled nurse following the admission weight.

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on medical record review and interview, the agency failed to obtain weights to determine weight gain for 3 patients (#10, #11 and #12) of 17 patients reviewed. The findings included: Medical record review revealed Patient #10 was admitted to the agency on 2/25/2022 with diagnoses including Obesity and Type 2 Diabetes Mellitus. Medical record review of the Home Health Certification and Plan of Care (485) dated 2/25/2022 to 4/25/2022 revealed a physician’s order for “...Licensed professional to report vital signs falling outside the following established parameters...weight > (greater) 166...” Medical record review of skilled nurse’s notes between 2/25/2022 and 3/22/2022 revealed only 1 weight was obtained (2/25/2022). Medical record review of physical therapy and occupational notes dated 3/1/2022 revealed no weights were obtained. Medical record review revealed Patient #11 was admitted to the agency on 3/9/2022 with diagnoses including Aftercare Following Joint Replacement Surgery and Essential Hypertension. Medical record review of the 485 dated 3/9/2022 and 5/7/2022 revealed a physician’s order for “...Licensed Professional to report vital signs falling outside the following established parameters...weight>218...” Medical record review of licensed professional (physical therapist, occupational therapist and medical social worker) notes between 3/9/2022 and 3/23/2022 revealed no documentation weights were obtained. Medical record review revealed Patient #12 was admitted to the agency on 3/3/2022 with diagnoses including Essential Hypertension and Osteoporosis. Medical record review of the 485 dated 3/3/2022 to 5/1/2022 revealed a physician’s order for “...Licensed Professional to report vital signs falling outside the following established parameters...weight >158...” Medical record review of the skilled nurse’s note dated 3/3/2022 revealed the patient’s weight was 152. Further review of notes between 3/3/2022 and 3/16/2022 revealed no other weights were obtained. Interview with the administrator on 3/31/2022 at 9:45 AM confirmed weights were not obtained following the admission weights and the agency failed to perform weight assessments to determine if the physician needed to be notified of weight changes for Patient’s #10, #11 and #12. Medical record review revealed Patient #10 was admitted to the agency on 2/25/2022 with diagnoses including Obesity and Type 2 Diabetes Mellitus. Medical record review of the Home Health Certification and Plan of Care (485) dated 2/25/2022 to 4/25/2022 revealed a physician’s order for “...Licensed professional to report vital signs falling outside the following established parameters...weight > (greater) 166...” Medical record review of a skilled nurse's note dated 2/25/2022 revealed the weight of 160 lbs was obtained on admission. Medical record review of skilled nurse’s notes between 2/25/2022 and 3/22/2022 revealed no documentation any weights were obtained. Medical record review of physical therapy and occupational notes dated 3/1/2022 revealed no weights were obtained. Medical record review revealed Patient #11 was admitted to the agency on 3/9/2922 with diagnoses including Aftercare Following Joint Replacement Surgery and Essential Hypertension. Medical record review of the 485 dated 3/9/2022 and 5/7/2022 revealed a physician’s order for “...Licensed Professional to report vital signs falling outside the following established parameters...weight>218...” Medical record review of licensed professional (physical therapist, occupational therapist and medical social worker) notes between 3/9/2022 and 3/23/2022 revealed no documentation weights were obtained. Medical record review revealed Patient #12 was admitted to the agency on 3/3/2022 with diagnoses including Essential Hypertension and Osteoporosis. Medical record review of the 485 dated 3/3/2022 to 5/1/2022 revealed a physician’s order for “...Licensed Professional to report vital signs falling outside the following established parameters...weight >158...” Medical record review of the skilled nurse’s note dated 3/3/2022 revealed the patient’s weight was 152. Further review of notes between 3/3/2022 and 3/16/2022 revealed no other weights were obtained. Interview with the administrator on 3/31/2022 at 9:45 AM confirmed weights were not obtained following the admission weights and the agency failed to perform weight assessments to determine if the physician needed to be notified of weight changes for Patient’s #10, #11 and #12.