Every finding on record at A and R Hospice Inc

It is required that the hospice follow accepted standards of practice to prevent the transmission of infections and communicable disease, including the use of standard precautions, such as hand hygiene and use of gloves, mask, eye protection, or face shield depending on anticipated exposure. This standard was not met as evidenced by document review, interview and observation. DOCUMENT 1: Policy No. 7-009 Hand Hygiene policy dated 2024 read in part "Hand decontamination using an alcohol-based rub should be performed: E. When moving from a contaminated body site to a clean body site during patient care, G. After removing gloves." HOME VISIT 1: The patient elected hospice care on 06/06/2024 with a diagnosis of Alzheimer's Disease. During the home visit with the Hospice Aide (HA) [Personnel Record 1] on 03/27/2025, the HA provided pericare to the patient and then cleaned the patient's posterior legs, changed gloves, and completed the assigned tasks (dressed the patient and provided oral care). The HA did not perform hand hygiene before moving from a contaminated body site to a clean one during patient care or after changing gloves. During an interview on 03/27/2025, the Director of Clinical Services [Personnel Record 5] confirmed that the HA should have cleansed hands before moving from a contaminated body site to a clean body site during patient care and after removing gloves."