Bayada Home Health Care, Inc.

The agency failed to ensure documentation was maintained which provided evidence that patient complaints were tracked and analyzed during three (3) of three (3) Quality Assessment/Performance Improvement Meetings (QAPI).

The agency failed to ensure tuberculosis (TB) screening was conducted in accordance with agency policy/procedure and post COVID-19 pandemic guidance from the PA DOH for three (3) of three (3) staff members who were hired during the COVID-19 pandemic disaster declaration.

The agency failed to submit ten (10) of ten (10) COVID-19 related reports to the PA DOH Event Reporting System (ERS) website prior to May 23, 2023. (Employees #1, #2, #3, #4, #5, #7 and #8) Findings include: On May 26, 2023 at approximately 1:10 PM, review of agency policy 0-933, titled "Incident…

The agency failed to ensure patient (client) rights forms included notification that the agency is to notify the patient that discharge is being considered for two (2) of two (2) patients who were discharged for cause (non-compliance with the home health plan of treatment/care).

The agency failed to ensure patient (client) rights forms included notification that the agency is to make efforts to resolve the behavioral issues for two (2) of two (2) patients who were discharged for cause (non-compliance with the home health plan of treatment/care).

The agency failed to ensure the patient (client) rights forms included notification that the agency was required to provide the names and contact information for other agencies/providers which would be available to provide home health services for two (2) of two (2) patients who were discharged for…

The agency failed to ensure the external length of the peripherally-inserted central catheter (PICC-intravenous) and corresponding arm circumference were measured with each skilled nursing (SN) visit for two (2) of two (2) patients for whom PICC assessment line orders were included on the "Home…

The agency failed to ensure that the home health aide plan of care was prepared/revised by the case manager/registered nurse (RN) for two (2) of four (4) active patients for whom skilled nursing (SN) and home health aide (HHA) services were ordered on the "Home Health Certification and Plan of…

The agency failed to ensure patient rights notifications included language that the agency would make efforts to resolve the behavioral issues when the agency discharged a patient due to patient behavior/non-compliance with the home health plan of care.

The agency failed to ensure the "Client Bill of Rights for Medicare-Certified Home Care and Home Health Offices" form included notification that the agency was required to provide the names and contact information for other agencies/providers which would be available to provide home health services…

The agency failed to ensure written instructions regarding the type of treatments to be provided by skilled nursing (SN) were provided to five (5) of five (5) patients for whom the "Home Health Certification and Plan of Care" included wound care or Foley (urinary) catheter orders.

The agency failed to ensure cardiovascular and respiratory assessments were documented by the skilled nursing (SN) for three (3) of three (3) for whom the primary diagnosis inclued heart failure.