Bayada Home Health Care Inc

The agency failed to follow the physician's order for wound care for 1 of 5 patients with a wound [#1]; and failed to report vital signs outside the given parameters for 1 of 1 patient with a VAD [vascular access device-type of catheter that provides access to blood vessels without the need for…

The skilled nurse failed to assess a wound for 1 of 5 patients with a wound [#3]; failed to write a verbal order related to administration of insulin for 1 of 8 patients with a diagnosis of diabetes [#4]; and failed to obtain wound measurements for 2 of 5 patients with a wound [#5, #13]. The…

G574 Based on agency policy review, clinical record review and patient/staff interviews the Plan of Care [POC] failed to include all current medications the patient was using for 5 of 7 home visits observed (#11,7, 12, 16, & 17); and failed to include a normal saline flush for 1 of 1 patient with a…

Staff interviews the skilled nurse failed to document follow-up related to a COVID 19 test for 1 of 1 patient [#1]; and failed to provide accurate documentation related to wounds/measurements of wounds for 1 of 5 patients with a wound [#3]. The findings included: 1. Patient # 1 had a Start of Care…

Staff interviews the skilled nurse failed to communicate with physician when patient refused wound care for 1 of 5 patients with a wound [#5]; and failed to report patient's inability to monitor blood sugar for 1 of 8 patients with a diagnosis of diabetes [#17]. The findings included: 1. Patient #…

Staff interview and patient/caregiver interview the Plan of Care failed to include correct/current medications for 5 of 20 charts [#7, 3, 11, 12 and 14]. The findings included: The policy, Client Care Plan [revised date of 7/5/21], was provided by RN # 13 on 9/22/21. The policy stated, “…The client…

The agency failed to notify the physician of changes in condition for 2 of 20 patients {#3 and 8]. The findings included: 1. Patient # 3 had a Start of Care [SOC] date of 3/12/21 and an admitting diagnosis of Hemiplegia, unspecified affecting right dominant side.

Staff interview the agency failed to follow the plan of care as ordered by the physician for weights for 1 of 4 virtual home visits (#14).

Staff interviews the agency failed to document wound measurements for 3 of 9 patients with skin breakdown [#17, 4, 16] and failed to include a signed supplemental order for physical therapy for 1 of 15 charts with physical therapy orders [#2]. The findings included: The policy, Wound…

The agency failed to practice infection control techniques consistent with the agency policy for 2 of 2 patients with wounds [#7 and 16]. Findings included: 1. Patient # 7 had a Start of Care [SOC] date of 7/25/18 and diagnosis of Encounter for Surgical Aftercare Following Surgery on the GU…

Caregivers and staff the Plan of Care failed to include all current mediations the patient was using on the plan of care [POC] for 4 of 7 patients who received a home visit [ # 6, 7, 9, and 17]. Findings included: The policy Medication Reconciliation no date listed was provided on 9/11/18 by the…

The agency failed to maintain accurate documentation for 2 of 17 patients (#2 and 16).

The agency failed to notify the physician of new wounds in 1 of 5 patients with wounds (#1); abnormal lab results in 1 of 2 patients that had a urinalysis completed (#15).