Every finding on record at Gentiva Certified Healthcare Corp

On 8/17/2022 at 10:10 AM, an entrance conference was conducted with Agency Representatives. The Agency was informed the purpose of the visit was to conduct a Medicare Recertification survey for compliance with the Conditions of Participation for Home Health. On 8/22/2022 at 10:00 an exit conference was conducted with Agency Representatives. Preliminary findings of the survey were discussed.

Last 5 days of every 60 days unless: CFR(s): 484.55(d)(1)(i,ii,iii) The last 5 days of every 60 days beginning with the start-of-care date, unless there is a- (i) Beneficiary elected transfer; (ii) Significant change in condition; or (iii) Discharge and return to the same HHA during the 60-day episode. This ELEMENT is not met as evidenced by: Based on Clinical Record Review and staff interviews, the Skilled Nurse (SN) failed to include a wound assessment as part of the comprehensive assessment with the patients recertification visit in 1 of 1 (#13) Clinical Record Reviewed. This failed practice had the potential to affect the quality of care recieved by all patients recieving wound care currently on census, in that the status of a patient's wound was not assessed. Review of clinical record #13 revealed: A. Document labeled "Visit Note Report" with a visit date of 08/12/2022 and visit type of "RN Recert With Skill" showed no wound assessment completed by SN and further documentation stating, "Wound Assessed...No, Caregiver completed Care." B. During interview on at 08/22/2022 at 9:44 AM,Agency STaff werte provided an opportunity to present additional documentation.With no additional documentation presented, AGency Staff #1 confirmed SN failed to complete a wound assessment.