Every finding on record at Bayada Home Health Care, Inc.

A recertification survey of Bayada Home Health Care agency was conducted August 29-30, 2022. After the review of the agency's emergency preparedness program and plan, the agency was found to be in compliance with all Conditions of Participation and related standards found at 42 CFR (Code of Federal Regulations) Part 484.102.

A standard home health agency re-certification survey was conducted at Bayada Home Health Care, Home Health Agency on August 29-30, 2022. The survey included the following: a review of clinical records; a review of the complaint/incident reports; a review of on-call documentation; a review of admission documentation including patient bill of rights; a review of personnel files including professional licenses and expiration dates; a review of Quality Assurance Project Plan and Reports (QAPI) & Potentially Avoidable Event Report; a review of the organizational chart; a review of the CLIA waiver, and interviews with the agency's administrative. The agency's emergency preparedness program and plan were reviewed. A total of sixteen randomly selected patient records were reviewed during the survey. The scope of services included the following: Skilled Nursing Services - 13 Physical Therapy Services - 12 Occupational Therapy Services - 9 Medical Social Worker - 3 Home Health Aide Services - 2 Speech-Language Services -1 No home visit observations were conducted during the survey. Findings in this report were based on data present in the clinical record at the time of the reviews. The agency's administrative and clinical staff were kept informed of the survey findings as the survey progressed. The agency's staff were given the opportunity to present information relative to the findings during the course of the survey. The exit conference was conducted with agency personnel on August 30, 2022. The findings of the Medicare re-certification survey were reviewed; a patient identification key-code and a signed plan of correction verification form was provided to the agency's administrator.

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on the review of patient records and interview with agency staff, physician orders were not followed for 2 out of 16 patients reviewed. Failure to follow all treatment orders placed the patient at risk for inadequate health care. Patients: #13 and #15 The findings include: 1.) On 6/20/2022 the physician ordered a medical social worker evaluation for patient #15. A review of the patients record found no documentation of the ordered medical social worker evaluation. When asked the agency staff were unable to provide documentation of the ordered evaluation being completed. 2.) Upon admission to the agency, Patient #13’s physician ordered Physical Therapist to assess and mitigate pain on each visit and to “provide pain control instructions” to include “cold therapy” (the application of an ice pack or cold pack) for “20 minutes 2-3 times per day.” This did not occur. Review of the patient record found no documentation of the ordered patient teaching. When asked the agency staff were unable to provide documentation of the ordered teaching being completed.