Every finding on record at A&B Home Health Solutions, LLC

It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 7 (14%) clinical records reviewed for patients with a home health aide revealed that the agency did not ensure that the home health plan of care was updated as needed with individualized patient care instructions. CLINICAL RECORD 4: The patient was admitted at home on 04/01/2024 with a diagnosis of senile degeneration of the brain. Orders included an HHA 2-3 x a week for the certification period. Physician orders received on 04/16/2025 for a wound on the heel that read, " Rt heel, clean with soap and water, pat dry with gauze, apply foam boarder dressing weekly by nurse. The family will call for dislodgement. The aide care plan was created on 04/01/2025 and was not updated on or after 04/16/2025 to guide the aide related to the wound dressing site on the right heel. The Branch Director stated in an interview on 04/22/2025, "Oh, I didn't update the aide care plan".