Every finding on record at Bayada Home Health Care Inc

Based on review of the medical record of a patient that sustained multiple falls (Medical Record #2), staff interview and document review, it was determined that the facility failed to ensure that the Plan of Care is updated as needed. Findings include: Reference: Facility policy titled, "37-301 Fall Prevention Program" states, "5.0 Interventions. Appropriate interventions are put into place to reduce a client's risk for falls. The level and complexity of interventions will vary depending on the needs of the client and/or fall prevention measures that have already been attempted. ...5.2 Risk- Specific Interventions. Risk -Specific Interventions may also be needed to improve safety . These interventions may be appropriate to address specific risk factors noted on assessment or implemented when general interventions have not been effective 5.2.1 Risk specific interventions include the possible use of therapy or BAYADAbility [sic] consultation. Risk specific intervention such as these could be used to address need for special equipment or training to improve safety. ...7.1.2 Reassessment of Fall Risk must consider the following: ...appropriateness of current care plan ..." 1. Review of Medical Record #2 on 3/22/22 revealed the following: a. On the 'Visit Note Report' dated 12/10/21, in the section identified as "Falls," states "...According to the MAHC 10 Fall Risk Assessment, this patient score is: 9 Based on the score, the patient is: at risk for falling..." b. Patient #2 sustained a fall on the following dates: 12/21/21, 12/22/21, 12/23/21, 1/3/22, 1/23/22, 2/9/22, 2/13/22, 2/26/22, 2/27/22. c. The 'Client Occurrence Report' dated 12/29/2021 at 12:18 AM states, "...Occurrence date 12/21/2021...Pt [patient] slid off bed." d. The 'Client Occurrence Report' dated 12/29/2021 at 12:20 AM states , "...Occurrence date: 12/22/2021...Pt was found on kitchen floor..." e. The 'Client Occurrence Report' dated 12/29/2021 at 12:22 AM states, "...Occurrence date 12/23/2021...Pt [patient] fell in living room...lost her balance..." f. The 'Client Occurrence Report' dated 1/3/2022 at 3:47 PM states, "...Occurrence Date 01/03/2022...DTR [daughter] reported PT had 2 falls since last SNV [skilled nurse visit]. ..." g. The 'Client Occurrence Report' dated 1/25/2022 at 2:37 PM states, "...Occurrence Date 01/23/2022...spouse reported patient had a fall on Sunday...." h. The 'Client Occurrence Report' dated 2/15/2022 at 6:54 PM states, "...Occurrence Date 02/09/2022...Patient had two falls within the past week..." i. The 'Client Occurrence Report' dated 02/15/2022 at 6:51 PM states, "...Occurrence Date 02/13/2022...DTR reports patient fell two days ago..." j. The 'Client Occurrence Report' dated 03/1/2022 at 5:54 PM states, "...Occurrence Date 02/26/2022...Patient had a fall on Saturday morning..." k. The 'Client Occurrence Report' dated 3/1/2022 5:58 PM states, "...Occurrence Date 02/27/2022...Patient had a fall on Sunday. ..." 2. Upon interview, Staff #4 confirmed that the Plan of Care was not updated following the multiple falls.