Every finding on record at Mederi Caretenders

During the recertification survey conducted on March 24, 2025 to March 27, 2025 at Mederi Caretenders, a Home Health Agency, Emergency Preparedness was reviewed. Mederi Caretenders is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

A recertification survey was completed on March 24, 2025 to March 27, 2025 at Mederi Caretenders. The facility was not in compliance with 42 Code of Federal Regulations (CFR) 484, Requirements for Home Health Agencies.

Document complaint and resolution CFR(s): 484.50(e)(1)(ii) (ii) Document both the existence of the complaint and the resolution of the complaint; and This ELEMENT is not met as evidenced by: Based on record review and interviews, the agency failed to timely document the resolutions and investigate findings in 2 of 3 patients (Patient # 18, Patient # 19 ) reviewed for grievances. Findings include: During the review of grievance forms on March 26, 2025 (Patient 18, 19) did not have resolutions documented on the complaint forms. Review of Patient #18's complaint report (no date) reads," Description: Patients wife complained regarding supplies. Interventions: follow up with supply vendor. Follow-up comments. CD (Clinical Director) reviewed complaint and chart. Patient supplies were ordered via procurement at SOC (start of care) due to special order for ostomy supplies, however the patient was re-hospitalized almost immediately after SOC and new supply order should have been placed at ROC (resumption of care). Education provided to clinicians related to supply orders. Resolution: Blank." Review of Patient #19's complaint report dated,6/17/24, reads, " Description: Patient caregiver reports that Nurse [name] had not performed wound care correctly and she is concerned that wound care performed incorrectly will lead to infection and subsequent amputation. They asked the Nurse [name] not to return to see Patient [name]. Prevention: switched clinicians .Resolution: Blank." Review of policy titled: Grievance Procedure, Patient Complaints policy number: 1.007…5. after the investigation and analysis is completed, but no later than 30 days after the complaint/grievance filing, the Executive Director or Clinical Director will follow up with the patient and/or complainant and document within the information system. During an interview on March 27, 2025 at approximately 10:00 AM Administrator stated “Patient 18 [name] wife complained of supplies but upon reviewing this complaint, I see there was an issue with supplies prior to the rehospitalization. Re: Patient 19 [name] no, there was no follow -up conversations documented to see if any further problems with care. Nurse [name] was made incompatible with that patient, no there was follow-up with Nurse [name]. Re: Patient 20 [name] the date on the complaint does not follow the policy of 30 days. I didn’t see or realize there was a place to document a resolution on the complaint forms.”