Based on the findings of an unannounced onsite Medicare recertification survey completed October 12, 2023, 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.
Every finding on record at Bayada Home Health Care, Inc.
Tobyhanna, Pennsylvania · CCN 398101
3 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of October 12, 2023
3 findingsBased on the findings of an unannounced onsite Medicare recertification survey completed October 12, 2023, 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 (SOC), for four (4) of seven (7) clinical records (CR#2, CR#3, CR#6, CR#7). Findings: A review of agency Policy/Procedure was conducted October 12, 2023 at approximately 3:00 p.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 completed on October 12, 2023 at approximately 3:00 p.m. revealed the following: CR#2 SOC 12/11/20: Referral from (patients Mother) for skilled nursing services on 11/19/20. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 12/11/20. CR#3 SOC 09/07/21: Referral from (patients Mother) for skilled nursing services on 01/05/21. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 09/07/21. CR#6 SOC 02/22/23: Referral from (Insurance Company) for home health aide services on 02/06/23. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 02/20/23. CR#7 SOC 01/18/23: Referral from (patients Mother) for home health aide services on 06/07/22. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 01/18/23. An interview conducted with the agency Administrator October 12, 2023 at approximately 3:30 p.m. confirmed the above findings.
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