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

Based on the findings of an onsite unannounced home health agency Medicare recertification survey conducted between 3/10/2022-3/16/2022, Bayada Home Health Care, 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 home health agency Medicare recertification survey conducted bettween 3/10/2022-3/16/2022, Bayada Home Health Care, was found to be not in compliance with the requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based upon review of agency policy, medical record review (MR), observation (OBS) during home visit and interview with director (EMP # 1), agency staff failed to follow proper disposal of syringes for one (1) of one (1) observations. (OBS # 1). Findings included: Review of agency policy on 3/16/2022 at approximately 1:00 PM titled " Infusion Therapy-Infusion Medication Administration {Section 8.13}" stated " 7.b.3. Dispose of all syringes contain blood in sharps container. Syringes used for flushing only can be disposed of per state regulations." Review of medical record, MR # 6, start of care 3/9/2022; physician orders 3/9/2022-5/7/2022 with primary diagnosis of Lyme Disease. Skilled Nursing (SN) orders for "Skilled nurse may infuse 2G {grams} Ceftriaxone IV {intravenous} push over 5 minutes... Flush IV access with NSS {normal saline solution} and heparin using SASH {saline, antibiotic, saline, heparin} technique." Observation (OBS) during home visit on 3/11/2022 at approximately 12:00 noon, with RN present ( EMP # 2), and patient (MR # 6), nurse had administered flush of Normal saline solution via red port of PICC {peripheral inserted central catheter} and discarded empty syringe into regular trash can, administered antibiotic, ceftriaxone 2 gram solution, also into the red port and discarded empty syringe into regular trash can. She then proceeded to administer a second syringe of normal saline solution via red port of catheter and discarded empty syringe into regular trash can. No sharps container visible, no other durable container such as laundry detergent bottle present for sharps disposal. Interview with EMP # 1 on 3/16/2022 at approximately 12:00 PM confirmed discarding syringes in regular trash can was not acceptable practice and confirmed above findings. Director reported nurse ( EMP # 2) also confirmed she disposed of syringes in an inappropriate manner.