Bayada Home Health Care, Inc

The agency failed to complete the Start of Care [SOC] [The Outcome and Assessment Information Set-a group of standard data elements] accurately for 6 of 12 active patients [#6, 8, 11 12, 16 and 18]. The findings included: 1. Patient # 6 had a Start of Care [SOC] date of 8/30/23 and admitting…

Staff the agency failed to complete a comprehensive review of all medications for 4 of 7 patients who received home visits [#11, 12, 16 and 15]. The findings included: #4. Patient #15 was admitted was admitted on 09/05/23 with disruption of external surgical operation, sepsis (blood infection)…

Staff interview the agency failed to measure wounds for 1 of 6 patients with a wound (#9).

Staff interviews the Plan of Care failed to include the route of administration for 1 of 1 patient with orders for oxygen [#2]; and order to flush a PBD [percutaneous biliary (related to bile or bile duct) drain] for 1 of 1 patient with a PDB [#3]. The findings included: The policy, Client Care…

Staff interviews the agency failed to notify the physician of a patient fall for 1 of 1 patient with a recorded fall [#2]. The findings included: The policy, Communicating with Physicians [1-13-2018], was provided by the branch director on 8-15-22 at approximately 3 pm.

The agency failed to review all current medications for 2 of 7 patients that received a virtual home visit (#12, and 13).

The nursing staff failed provide care in accordance with the condition of skilled professional services for 2 or 20 patients (#3, 13, 2, 12, 9, and 6).

The RN failed to perform dressing changes consistent with infection prevention practices for 1 of 2 patients that received a home visit to observe wound care (#6).

The agency failed to maintain a current list of medications for 7 of 7 patients that received home visits (#6, 8, 9, 7, 10, 11, and 17).

The registered nurse [RN] inserted an Indwelling Urinary Catheter into the vagina instead of the bladder as ordered by the physician which resulted in the patient requiring ER [emergency room] visit 1 for 1 patients [#3]; and advised patient to take an OTC [over the counter] medication not listed…

The agency failed to provide education on flushing a PICC [peripherally inserted central catheter] line for 1 of 2 patients [# 13] with a PICC line.

The agency failed to maintain accurate documentation for 3 of 20 patients (#2, 6 and 13).

The agency failed to communicate patient needs/changes with the physician for 4 of 20 patients (#3, 13, 2, and 12).