Bayada Home Health Care, Inc.

NO415 indicated the patient was not taking any opioids or anti-coagulation (affects blood clotting) medication.

The agency failed to update the plan of care for skilled nursing missed visits for 1 of 13 records reviewed (7); .and failed to update the care plan interventions for 2 of 13 patients [#4 and 8]. The findings included: The policy, Client Care Plan [1/1/93], was provided by the agency director on…

Staff interviews the Plan of Care failed to include all/current medications the patient was taking for 4 of 5 home visits [#1, 5, 2, and 4]. The findings included: The policy, Medication Managament and Administration [1/1/93], was presented by the agency director on 1/27/25 at 2:07 pm.

The agency failed to follow the physicians order for physical therapy evaluations for 2 of 9 records reviewed with physical therapy (1 and 12).

Staff interviews the agency failed to provide services as ordered by the physician for 4 of 8 patients with occupational therapy services (#2, #7, #13 and #14).

Staff interview the agency failed to provide an accurate care plan for 1 of 5 patients with a home health aide (#11).

The agency failed to notify the physician of a patient’s reported medication changes and failed to notify the physician of a new onset of symptoms for 1 of 24 (Patient #14) records reviewed.

Staff interview the clinical record failed to include wound measurements for 3 of 11 charts with wounds (#8, 15, and #17) PICC (peripherally inserted central catheter) line measurements for 2 of 2 charts with PICC lines (#5 and #24).

The agency failed to review all medications during the comprehensive assessment, and maintain current records for 3 out of 7 patients (#7, 8, and 9).

Staff interview the agency failed to include the patient's psychosocial and cognitive status for 17 of 17 records (# 1, 2, 7, 8, 9, 10, 12, 13, 16, 17); and the patient-specific goals as identified by the agency staff and the patient in 17 of 17 (# 1, 2, 7, 8, 9, 10, 12, 13, 16, 17) records…