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

Based on the findings of an unannounced onsite federal recertification survey completed on April 9, 2025, Bayada Home Health Care, Inc. was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.

Based on the findings of an unannounced onsite federal recertification survey completed on April 9, 2025, Bayada Home Health Care, Inc. was found not to be in compliance with the requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

RN performs assessment CFR(s): 484.55(a)(1) A registered nurse must conduct an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status. The initial assessment visit must be held either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner - ordered start of care date. This ELEMENT is not met as evidenced by: Based on a review of agency policy, review of clinical records, and an interview with the agency Administrator, the agency failed to complete the initial assessment visit within 48 hours of referral, or within 48 hours of the patients return home, or on the physician-ordered start of care date, for six (6) of seven (7) clinical records (CR#1 - CR#4, CR#6, CR#7). Agency policy reviewed on April 9, 2025 at approximately 2:45 p.m. Policy '0-672 Admission Criteria & Procedure - Medicare Certified Offices' 'Our Procedure'(9.1) "The initial assessment must be completed either within: (a) 48 hours of referral, or (b) 48 hours of the clients return home, or (c) On the physician-ordered start of care date." A review of CRs was completed on April 9, 2025 at approximately 2:30 p.m. The patients start of care (SOC) is listed below. CR#1 SOC 01/26/24: Referral from (family member) for skilled nursing services on 01/15/24. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 01/26/24. CR#2 SOC 09/30/24: Referral from (family member) for skilled nursing services on 09/04/24. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 09/30/24. CR#3 SOC 05/15/23: Referral from (family member) for skilled nursing services on 12/09/22. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 05/15/23. CR#4 SOC 05/01/24: Referral from (family member) for skilled nursing services on 04/18/24. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 05/01/24. CR#6 SOC 09/06/22: Referral from (family member) for skilled nursing services on 08/22/22. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 09/06/22. CR#7 SOC 05/14/24: Referral from (family member) for skilled nursing services on 05/10/24. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 05/14/24. An interview conducted with an agency Administrator on April 9, 2025 at approximately 3:00 p.m. confirmed the above findings

Based on the findings of an unannounced onsite Medicare recertification survey completed April 20, 2022, Bayada Home Health Care, Inc. was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.

Based on the findings of an unannounced onsite Medicare recertification survey completed April 20, 2022, Bayada Home Health Care, Inc. was found not to be in compliance with the following requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Standard: Initial assessment visit. CFR(s): 484.55(a) Standard: Initial assessment visit. This STANDARD is not met as evidenced by: Based on a review of agency policy, review of clinical records, and an interview with the agency Administrator, the agency failed to complete the initial assessment visit within 48 hours of referral, or within 48 hours of the patients return home, or on the physician-ordered start of care date, for two (2) of two (2) clinical record referrals reviewed (CR#1, CR#2). Findings: A review of agency Policy/Procedure was conducted on April 19, 2022 at approximately 10:00 a.m. Policy '0-672', 'Admission Criteria and Procedure-Medicare Certified Offices' 'Our Procedure' (9.1) states "The initial assessment must be completed either within: (a) 48 hours of referral, or (b) 48 hours of the clients return home, or (c) on the physician-ordered start of care date." A review of clinical records conducted on April 19, 2022 at approximately 11:45 a.m. revealed the following: CR#1 SOC 07/21/21: Referral from (parent) for skilled nursing services on 06/23/21. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 07/21/21. CR#2 SOC 01/20/22: Referral from (parent) for skilled nursing services on 12/18/21. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse visit on 01/20/22. An interview conducted with the agency Administrator on April 19, 2022 at approximately 1:30 p.m. and email correspondence with the Administrator and the agency Division Director of Regulatory Support & Guidance on April 20, 2022 at approximately 1:50 p.m. confirmed the above findings.