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

Based on the findings of an unannounced onsite Medicare recertification survey completed November 25, 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 Medicare recertification survey completed November 25, 2025, 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.

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 two (2) of four (4) clinical record referrals reviewed (CR#4, CR#7). Policy 0-672 ' 'Admission Criteria and Procedure - Medicare Certified Offices' 'Our Procedure:' 9.0 "A registered nurse or therapist (PT, SLP) must conduct an initial visit to determine the immediate care and support needs of the client, .... " (.1 "The initial visit must be completed within 48 hours of referral, within 48 hours of the patients return home, or on the physician-ordered SOC date." A review of CRs was completed on November 25, 2025 at approximately 12:00 p.m. The patients start of care (SOC) is included below. CR#4 SOC 08/22/25: Referral from (family member) for skilled nursing on 02/27/25. Referral Notes/Reason for referral: "SOC (start of care) delayed waiting on SC (service coordinator) authorizing units." No physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 08/22/25. (176 days after referral received.) CR#7 SOC 12/02/24: Referral from (agency employee listed on referral form, per Administrator the referral came from a family member) for skilled nursing on 11/15/24. Referral Notes/Reason for referral: "Referral came from a current employee who worked on client with a different agency." No physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 12/02/24. (17 days after referral received.) An interview conducted with agency Administrator on November 25, 2025 at approximately 12:45 p.m. confirmed the above findings.

12 hours inservice every 12 months CFR(s): 484.80(d) Standard: In-service training. A home health aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a patient. This STANDARD is not met as evidenced by: Based on a review of agency policy, review of employee files, and an interview with the agency Administrator, the agency failed to ensure the employee obtained the required twelve (12) hours of annual inservice for one (1) out of one (1) home health aide employee file reviewed (EF#7). Agency policy/procedure reviewed on November 25, 2025 at approximately 11:45 a.m. Policy 0-963 'Filed Employee Orientation, Education, and Inservice Requirement' 'Our Procedure' Section 2.0 'In-Service Requirements' (2.1.1) 'Home Health and Home Care Medicare Certified Offices' ... 'Home Health Aide (HHA) : 12 hours per year, ....." A review of EF was conducted on November 21, 2025 at approximately 10:00 a.m. The employees date of hire (DOH) is listed below. EF#7 DOH 03/02/23: Documentation provided of employee obtaining eight (8) of the required twelve (12) hours of inservice in 2024. An interview conducted with agency Administrator on November 25, 2025 at approximately 12:45 p.m. confirmed the above findings.

Based on the findings of an unannounced onsite Medicare recertification survey completed October 26, 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 October 26, 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 (SOC), for three (3) of seven (7) clinical records (CR#1, CR#6, CR#7). Findings: A review of agency Policy/Procedure was conducted on October 26, 2022 at approximately 11:30 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 was completed on October 26, 2022 at approximately 12:00 p.m. revealed the following: CR#1 SOC 10/10/22: Referral from (Service Coordinator) for skilled nursing services on 08/25/22. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 09/07/22. CR#6 SOC 03/29/22: Referral from (Service Coordinator) for skilled nursing services on 03/10/22. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 03/29/22. CR#7 SOC 10/12/21: Referral from (Parent) for skilled nursing services on 08/10/21. No patients return home specified nor physician ordered start of care date specified. Documentation of initial assessment visit by registered nurse on 10/12/21. An interview conducted with the agency Administrator on October 26, 2022 at approximately 12:15 p.m. confirmed the above findings.