Every finding on record at Healthfield of Southwest Georgia, LLC

A Recertification survey was conducted at Centerwell Home Health on September 22, 2025, and concluded on September 24, 2025. At the time of the survey, the agency was in compliance with 42 CFR Part 418.113, Emergency Preparedness and Covid-19 infection control.

A Recertification survey was conducted at Centerwell Home Health on September 22, 2025, and concluded on September 24, 2025. At the time of the survey, the agency was not in compliance with Chapter 42 CFR Part 418, Rules and Requirements for Home Health and Hospice Agencies. The census was 617. The following deficiency was cited.

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 the Centers for Medicare & Medicaid Services (CMS) Home Health Agency (HHA) Error Summary by agency report, policy titled “OASIS Data Collection," and staff interview, it was determined that the agency failed to electronically transmit monthly Outcome and Assessment Information Set (OASIS) data collected to the CMS system every 30 days. Findings include: Review of CMS report titled “HHA Error Summary by Agency,” with a report period of 8/1/2024 - 8/1/2025, and report run date of 08/13/2025 revealed the agency failed to transmit OASIS data to the CMS system within 30 days. Review of the policy titled “OASIS Data Collection," last revised 08/2024, revealed the following: The Home health agency will collect OASIS data response items and other pertinent information for each agency patient receiving skilled care to be billed to Medicare/Medicaid (primary/secondary) and those patients under a managed-care or Medicaid waiver program according to company procedures. OASIS data items will be collected and transmitted within 30 calendar days of the completion of the OASIS assessment. On 09/24/25 at 9:00 am, during an in-office interview, the Executive Director confirmed awareness of the 30-day OASIS submission timeframe requirements not met during the time frame of 8/1/24 through 8/1/25.

Centerwell Home Health, Bainbridge, Georgia, was in compliance with 42 CFR Part 418.113, Emergency Preparedness and Covid-19 infection control for Hospice as a result of an onsite survey conducted on 11/2/22.

A recertification survey was conducted at Centerwell Home Health, Bainbridge, Georgia, on 11/2/22, by Surveyor. It was revealed that the agency was in compliance with Chapter 42 CFR Part 418, Rules and Requirements for Home Health and Hospice Agencies. The census was 557. The following deficiencies were cited.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on observation, record review, and staff interviews, it was determined that the agency failed to ensure that patient medication profiles were updated to reflect current medications at the time of the comprehensive assessment for one (1) of seventeen (17) sampled patients (P#6). The Findings include: During a home visit observation conducted on 11/1/22 at approximately 9:30 a.m., with Physical Therapist Assistant (PTA) AA, for (P#6), it was revealed that (P#6) was admitted on 10/21/22, with a diagnosis of encounter for surgical aftercare, following surgery on the circulatory system. The surveyor compared P#6's current medication list at home to the home health agency's medication profile. Discrepancies were found. Klor-Con (potassium sodium chloride) eight tablets 8 Milliequivalent (MEQ) extended release (ER) take four tablets oral in morning, two tablets oral at lunch, four tablets oral at supper and two tablets oral at bedtime daily used for electrolyte replacement. The medication expired on 4/30/22. P#6 took four doses of Klor-Con 8 MEQ on 10/30/22 and has taken one dose of Klor-Con 8 MEQ on 11/1/22 that had expired on 4/30/22. It was revealed the agency medication profile does not list Klor-Con 8 MEQ medication that the patient is taking, and Klor-Con 8 MEQ medication expired on 4/30/22. On 11/1/22 at 9:45 a.m., an interview was conducted with Physical Therapist Assistant (PTA)AA, who confirmed that he was not aware that P#6 was taking Klor-Con 8 MEQ medication, and Klor-Con 8 MEQ medication was expired on 4/30/22. On 11/1/22 at 1:30 p.m., an over the phone interview was conducted with Registered Nurse (RN) BB, who confirmed that she visited patient on 10/21/22 and she was not aware that P#6 was taking Klor-Con 8 MEQ medication and was not aware Klor-Con 8 MEQ medication was expired on 4/30/22. On 11/2/22 at 9:10 a.m., an interview was conducted with Clinical Manager (CM) CC, who confirmed she notified the physician that P#6 took expired Klor-Con 8 MEQ medication for two days on 10/31/22 she took four doses of expired Klor-Con 8 MEQ Medication and on 11/1/22 she took one dose of expired Klor-Con 8 MEQ Medication. On 11/2/22 at 9:12 a.m., an over the phone interview was conducted with Pharmacist, who confirmed that taking expired Klor-Con 8 MEQ medication does more harm when expires.

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on observation, record review, and staff interviews, it was determined that the agency failed to follow the patient plan of care for one (1) of seventeen (17) sampled patients (P#6). The Findings include: During a home visit observation conducted on 11/1/22 at approximately 9:30 a.m., with Physical Therapist Assistant (PTA) AA, for (P#6), it was revealed that (P#6) was admitted on 10/21/22, with a diagnosis of encounter for surgical aftercare, following surgery on the circulatory system. The surveyor compared P#6's current medication list at home to the home health agency's plan of care. Discrepancies were found. Klor-Con (potassium sodium chloride) eight tablets 8 Milliequivalent (MEQ) extended release (ER) take four tablets oral in morning, two tablets oral at lunch, four tablets oral at supper and two tablets oral at bedtime daily used for electrolyte replacement. The medication expired on 4/30/22. P#6 took four doses of Klor-Con 8 MEQ on 10/30/22 and has taken one dose of Klor-Con 8 MEQ on 11/1/22 that had expired on 4/30/22. It was revealed the agency medication profile does not list Klor-Con 8 MEQ medication that the patient is taking, and Klor-Con 8 MEQ medication expired on 4/30/22. On 11/1/22 at 9:45 a.m., an interview was conducted with Physical Therapist Assistant (PTA)AA, who confirmed that he was not aware that P#6 was taking Klor-Con 8 MEQ medication, and Klor-Con 8 MEQ medication was expired on 4/30/22. On 11/1/22 at 1:30 p.m., an over the phone interview was conducted with Registered Nurse (RN) BB, who confirmed that she visited patient on 10/21/22 and she was not aware that P#6 was taking Klor-Con 8 MEQ medication and was not aware Klor-Con 8 MEQ medication was expired on 4/30/22. On 11/2/22 at 9:10 a.m., an interview was conducted with Clinical Manager (CM) CC, who confirmed she notified the physician that P#6 took expired Klor-Con 8 MEQ medication for two days on 10/31/22 she took four doses of expired Klor-Con 8 MEQ Medication and on 11/1/22 she took one dose of expired Klor-Con 8 MEQ Medication. On 11/2/22 at 9:12 a.m., an over the phone interview was conducted with Pharmacist, who confirmed that taking expired Klor-Con 8 MEQ medication does more harm than good because the medication starts to break down when it expires.