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

Based on the findings of an unannounced on-site home health agency Medicare recertification survey conducted October 2, 2023, through October 4, 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.

Based on the findings of an unannounced on-site Medicare recertification survey conducted October 2, 2023, through October 4, 2023, 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.

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based upon review of agency policy, clinical records (CR) and interview with the agency director, the agency failed to ensure that physician orders were signed in accordance with agency policy for one (1) of seven (7) CR reviewed. (CR #3) Findings include: Review of agency policy titled “0-983 Physician Orders” on October 4, 2023, at approximately 3:00 P.M. stated, “4.0 A physician signature must be obtained within twenty eight (28) days, unless a shorter timeframe is required by the state or program regulations. The twenty eight (28) day requirement for obtaining a physician’s signature begins when the verbal orders are obtained… A physician’s signature is obtained and tracked according to the following procedure: a. If the orders are not returned with the physician’s signature after two weeks (or sooner if required by state regulations), a second copy is sent with an accompanying note requesting the signed orders be returned immediately. b. After one more week, if the orders are still unsigned, the client will be informed of the situation, and someone from the office will take a third copy to the doctor’s office and make one final attempt. c. If the final attempt proves unsuccessful, and signed orders are not received from the doctor by the end of four weeks, the client and doctor will be informed that client discharge and transfer procedures will be implemented immediately…” Review of clinical records conducted on October 3, 2023, from approximately 10:30 A.M. to 3:00 P.M., and October 4, 2023, from approximately 11:00 A.M. to 1:30 P.M. revealed the following: CR #3, start of care November 10, 2021, contained the following verbal orders: August 1, 2023, “Discontinue Flintstone vitamin, one (1) tablet P.O. (by mouth) daily. The order was signed September 12, 2023, forty two (42) days after the verbal order was received. August 4, 2023, “Discontinue Mupirocin (antibacterial) ointment to affected areas. Continue moisturizer and Vaseline gauze to affected areas until healed.” The order was signed September 12, 2023, thirty nine (39) days after the verbal order was received. An interview with the agency director on October 4, 2023, at approximately 2:30 P.M. confirmed the above findings.