Bayada Home Health Care Inc

The Agency failed to ensure clinical records containing current information for patient’s receiving skilled home health services for wound care is inclusive of information that is accurate and adheres to professional clinical record documentation standards, for 1 of 1 Patient reviewed for wounds.

The Agency failed to notify the ordering physician of missed skilled visits as indicated in the patient’s plan of care, for 1 of 1 patient reviewed for physician notification of missed visits.

The agency failed to ensure that the Patient’s right to participate in, be informed about, and consent to or refuse care relative to the completion of the initial assessment for 1 of 1 patient reviewed for patient rights, Patient ID #3. Findings are as follows: Review of the Patient record revealed…

The agency failed to ensure that the initial assessment visit to determine the immediate care and support needs of the Patient was conducted by a registered nurse, was held either within 48 hours of referral, or within 48 hours of the patient’s return home, or on the allowed practitioner ordered…

This Element is NOT MET as evidenced by: Based on record review and staff interview, it has been determined that the Agency failed to ensure that drugs and treatments are administered in accordance with the orders of the physician, or allowed practitioner, for 1 of 2 patients reviewed relative to…

The facility failed to conduct an initial assessment visit within 48 hours of the patient's return home or on the Physician -ordered start of care date for 1 of 18 sampled patients (ID # 13).

The facility failed to assure the patient's clinical record identifies all medication the patient is currently taking for 1 of 18 sample patients (ID # 2).

The facility failed to promptly alert the physician to any changes in patient's condition or needs that suggest the outcomes are not being achieved and the plan of care should be altered for 4 out of 18 sample residents (ID # 2, 7, 9, and 17).