Bayada Home Health Care Inc

The agency failed to ensure accuracy of the OASIS [Outcome and Assessment Information Set-a group of standard date elements included in comprehensive assessments] for 4 of 17 patients [ #1, 4, 7 and 17]. The findings included: 1. Patient # 1 had a Start of Care [SOC] date of 8/17/23 with an…

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 4 of 7 home visits observed (#12,11,13 & 17) The findings included: 2. Patient # 11 had a Start of Care [SOC] date of…

The Registered Nurse failed to document a wound assessment in the clinical record for 1 of 5 patients with a wound [#17]. The findings included: Patient # 17 had a Start of Care [SOC] date of 1/29/24 with an admitting diagnosis of respiratory syncytial virus [RSV] pneumonia [lung infection] and…

Staff interviews the agency failed to follow the Plan of Care related to wound care for 1 of 11 patients with a wound [#9]; failed to report blood pressure readings outside the given parameters for 1 of 5 discharged charts [#14]. The findings included: The policy, Client Care Plan [July 5, 2021]…

Staff interviews the agency failed to update the Plan of Car [POC] with correct/current medications for 1 of 5 discharged charts [#16]. The findings included: The policy, Medications-Reconciliation [no date], was provided by the agency director on 11/16/21. The policy stated,"...3. In home care, a…

The agency failed to obtain a physician's order prior to advising a patient with heart failure to increase fluid intake for 1 of 1 patient [#15]. The findings included: Patient # 15 had a Start of Care [SOC] date of 10/28/21 and admitting diagnoses of Hypertensive Heart Disease with Heart Failure…

The agency failed to inform the physician of the presence of unremoved staples in 1 of 1 chart with a new colostomy [#2]; failed to notify the physician of a new wound in 2 of 5 discharged charts [#16 and 18]. The findings included: 1. Patient # 2 had a Start of Care [SOC] date of 10/27/21 and…

Staff interview the clinical record failed to include weekly wound assessments/measurements for wound measurements for 8 of 11 charts with wounds [#5, 9, 12, 14, 16, 18, 1 and 17];failed to include PICC [peripherally inserted central catheter] line measurements for 1 of 1 patient with a PICC line…

The agency failed to follow physician's orders/plan of care [POC] for flushing PICC [percutaneous inserted central catheter] for 1 of 2 patients [#11] with a PICC line; and failed to follow the physician's order/ POC for assessing a diabetic ulcer each visit for 1 of 10 charts reviewed [#3]. The…

The agency failed to include the patient's psychosocial and cognitive status for 1 of 17 records (#15 ); and the Patient and caregiver education and training to facilitate timely discharge on the Plan of Care [POC] for 6 of 17 records (# 15, 1, 8, 9, 16, 17) reviewed.