Bayada Home Health Care, Inc

Staff interviews the SN [skilled nurse] failed to assess the PICC [peripherally inserted central line catheter used to access large veins to prevent repeated sticks for medications] line site for 2 of 2 patients with a PICC line [#10,14] and failed to obtain wound measurements for 1 of 5 [#10]…

Staff interview the SN [skilled nurse] failed to document communication with physician in the clinical record regarding administration of an enema for 1 of 1 patient with an order for an enema [#1]; failed to document communication with the physician regarding bleeding around a G [gastrostomy] tube…

Staff interview the agency failed to follow the plan of care for assessing vital signs for 1 of 1 patients with heart disease (#8).

The agency failed to follow the Plan of Care [POC] related to removing a dressing for 1 of 7 patients [# 3 ]; related to assessing weights for of 2 of 17 patients [#7, 14]; related to assessment of incisions for 1 of 7 patients with a wound [#17]. The findings included: 1. Patient # 3 had a Start…

The agency director on 12/1/21. The policy stated, "...The individualized plan of care must include...All types of services, supplies and equipment..." Patient # 17 had a Start of Care [SOC] date of 11/6/21 and admitting diagnoses of Pathological Fracture, Left Femur and Pathological Fracture, R…

Staff interview the agency failed to coordinate care with the physician regarding a reported fall for 1 of 1 patients with a history of falling (#10).

The clinical record failed to include wound assessments/measurements for 1 of 7 charts [#9]; failed to include accurate pain assessments for 2 of 17 patients [#14, #17] ; failed to include accurate weights for 2 of 17 patients [#14, 3]. The findings included: 1. Patient # 9 had a Start of Care…

Staff the Plan of Care was not followed for 1 of 1 patients who reported a leaking Foley catheter [#8]; and for 1 of 7 patients with a wound (#17).

Staff interviews the clinical record failed to include documentation for assessment of pain control for 2 of 5 patients who received home visits [#12 and 15 ]; and failed to include wound measurements for 3 of 7 patients who had a wound [#12, 8, and 6]; and failed to include documentation of…

The occupational therapy assistant failed to notify the physician promptly of a significant change in a patient's condition that required an emergency department visit/hospital admission in 1 of 1 patients (#1).