Bayada Home Health Care, Inc

The agency failed to ensure OASIS [Outcome and Assessment Information Set-comprehensive assessment] question NO415 [high risk drug classes-use and indication] was answered accurately for 7 of 17 patient records reviewed [#2, 7, 8, 9, 11, 1, and 17]. The findings included: A policy, Chart Data…

Staff interviews the Registered Nurse failed to document PICC [peripherally inserted central catheter-device inserted through a vein for long term use of medications] line measurements for 1 of 1 patient with a PICC line [#8]; failed to obtain wound measurements for 2 of 8 patients with a wound […

Direct observation and staff and patient/caregiver interviews the Plan of Care [POC] failed to include all/correct medications the patient was taking for 2 of 7 patients with home visits [#12 and 13]; and failed to include the frequency for wound care for 1 of 8 patients with a wound [#8];and…

Staff interviews the agency provided wound care without an order for 1 of 8 patients who received a home visit [#13]. The findings included: Patient # 13 had a Start of Care date of 9/26/23 with an admitting diagnosis of pressure ulcer of right buttock, stage 2 [the ulcer has broken through the top…

The agency failed to notify the physician of a new wound for 1 of 8 patients with a wound [# 9]; failed to notify the physician of a decline in wound status for 1 of 8 patients with wounds (#14).

Staff interviews the RN failed to provide wound care as ordered in the Plan of Care of 1 of 7 patients who received a home visit [#13]. The findings included: Patient # 13 had a Start of Care date of 9/26/23 with an admitting diagnosis of pressure ulcer of right buttock, stage 2 [the ulcer has…

The RN failed to reinforce patient/caregiver teaching regarding a physician’s order for the frequency of a dressing change for 1 of 2 patients with a home visit who received a dressing change [#13]. The findings included: Patient # 13 had a Start of Care date of 9/26/23 with an admitting diagnosis…

Apply Vaseline gauze to wound bed and cover and secure with foam…” On 11/7/23 at approximately 1:30 pm a joint visit was conducted with RN # 7. RN # 7 did not clean the wound bed with normal saline or apply Vaseline gauze.

Staff interview the agency failed to include all medications on the plan of care 2 of 7 virtual home visits (#14 and #17).

Staff the agency failed to notify the physician of findings related to medication non-compliance in 1 of 17 charts [#7]; failed to notify the physician of oxygen setting irregularities in 1 of 17 charts [#10]. The findings included: 1. Patient # 7 had a Start of Care [SOC] date of 5/8/21 and an…

The agency failed to notify the physician of changes related to home health aide services for 1 of 2 charts [#1]. The findings included: Patient # 1 had a Start of Care [SOC] date of 8/6/21 with admitting diagnoses of Until [unilateral] primary Osteoarth of first Carpometacarpi joint, R hand and…

Staff interview the clinical record failed to include wound measurements for 2 of 6 charts with wounds (#2, and #4), and include PICC (peripherally inserted central catheter) line measurements for 1 of 1 charts with a PICC line (#3).

The staff failed to follow agency policy regarding infection control [to prevent contamination of supplies] for 1 of 1 patient with a wound who received a home visit [#6]. The findings included: The policy Wound Care- Assessment and Treatment was provided on 9/20/18 by the agency administrator.

Caregivers and staff the individualized Plan of Care [POC] failed to include current medications for 5 of 7 patients who received home visits [ # 6, 8, 9, and 12]. The findings included: 1. Patient # 6 had a start of care [SOC] date of 8/18/18 and diagnoses of Diabetes and Non-Pressure Ulcer of…