Every finding on record at Knd Development 50, LLC

A recertification survey was conducted at CenterWell Home Health, located at 313 Boston Post Road, Marlborough, MA 01752, on 6/17/25 and 6/18/25, for compliance with 42 CFR Part 484.102 Emergency Preparedness for Home Health Agencies. As a result of this survey, it was determined the agency was in compliance with the Condition of Participation for Emergency Preparedness. No deficiencies were cited.

A recertification survey was conducted at CenterWell Home Health, located at 313 Boston Post Road West, Suite 160, Marlborough MA 01752, on 6/17/25 and 6/18/25 to determine compliance with the 42 CFR Part 488 requirements for Home Health Agencies. As a result of this survey, it was determined the agency was not in compliance with these requirements. Deficiencies were cited.

Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based on observation, policy review and staff interview, the agency failed to ensure that appropriate infection control practices related to hand hygiene, were followed for one patient (#7) of 4 patient home visits conducted, out of a total sample of 10 patients. Findings include: Review of the agency’s policy, entitled Personal Protective Equipment (PPE), dated December 2024, indicated the following: *PPE will be provided to all Clinical Associates as a barrier for protection against exposure to blood-borne pathogens, tuberculosis, COVID-19 (coronavirus disease) or other potentially infectious agents. *PPE use includes but not limited to: Gloves will be utilized by all Clinical Associates when in direct contact with blood, body fluids, mucous membranes, non-intact skin, handling or touching contaminated items/surfaces when performing patient care-related activities. *Gloves should be changed upon completion of each task and immediately when torn, punctured and/or contaminated. Patient #7 was admitted to the agency in May 2025, requiring skilled care at home. Review of the physician ordered Plan of Care for Certification Period, dated 5/23/25 through 7/21/25, indicated the following *Effective 5/25/25: Physical Therapy visit (PTV) once a week for 1 week, 2 times a week for one week, 1 time a week for 2 weeks, 1 visit every 2 weeks for 2 weeks, and 1 time a week for 2 weeks. On 6/17/25 at 1:15 P.M., the surveyor and Physical Therapist (PT) #1 met outside the patient's home before entering to complete a required home visit. PT #1 was observed wearing gloves and then applying alcohol-based hand gel to his gloved hands after removing needed equipment from his car. During the entire home visit, PT #1 continued to wear the same pair of gloves and apply alcohol-based hand gel to the gloves when moving between tasks. These tasks included assessing the patient's vital signs, assisting with transfers and exercises, and handling patient equipment and a tablet. He did not remove the gloves until all tasks were completed, and the visit ended. During an interview on 6/17/25 at 2:05 P.M., PT #1 said he did not remove his gloves and perform hand hygiene between tasks during the visit because the alcohol-based hand gel bothers his skin. He said he just wears the gloves throughout the visit and applies hand gel to the gloves. He said he removes his gloves at the end of the visit and discards them. During an interview on 6/17/25 at 3:00 P.M., the interim Clinical Director said the facility's policy does not indicate for staff to wear the same pair of gloves throughout a visit and apply alcohol-based hand gel to them. He said PT #1 could have washed his hands with soap and water between tasks if the hand gel bothers his hands.