An Emergency Preparedness survey was conducted from 1/21/2025-1/23/2025 at Tennova Home Health - Cleveland. No deficiencies were cited under CFR Part 484.22 Condition of Participation for Home Health Agencies.
Every finding on record at Cleveland Home Care Services, LLC
Cleveland, Tennessee · CCN 447269
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 January 23, 2025
3 findingsA Recertification survey was conducted on 1/21/2025 -1/23/2025 at Tennova Home Health - Cleveland. A deficiency was cited under CFR Part 484, Requirements for Home Care Organizations Providing Home Health Care.
Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based in medical record review and interview, the agency failed to follow wound care orders for 1 patient (#5) of 10 patients reviewed. The findings included: Medical record review revealed Patient #5 was admitted to the agency on 1/09/2025 with diagnoses including Hypertensive Chronic Kidney Disease and Type 2 Diabetes Mellitus. Medical record review revealed a physician’s order dated 1/09/2024 for skilled nurse (SN) to “…perform/instruct patient/caregiver procedure of wound care to Diabetic Ulcer to Left Great Toe 2 times a week. Cleanse with Normal Saline. Paint with Betadine (kill germs promptly in minor cuts, scrapes and burns), cover with dressing…” until patient is seen in wound care clinic. Medical record review revealed a physician’s order dated 1/16/2025 (from the wound care clinic) to change the wound care to the Left Great Toe to include SN/caregiver to cleanse with normal saline, apply (sterile non-woven dressing), cover with gauze dressing, tape to secure and apply a stockinette. The dressing was ordered to be changed 3 times a week. Continued order revealed the patient was to return to the wound care clinic in 3 weeks. Medical record review of a nurse’s note dated 1/20/2025 revealed the wound care ordered on 01/16/2025 had not been performed as ordered by the wound care clinic. During an interview on 1/22/2025 at 1:45 PM, the Administrator confirmed the wound care ordered on 1/16/2025 had not been performed as ordered during the nurse’s visit on 1/20/2025.
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