Every finding on record at Accuhealth

Upon patient record review, 1 of 5 (Patient #2) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #2: This patient is a smoker. He has oxygen in the home. There are no interventions or goals for smoking, smoking cessation, or safety with oxygen use.

Upon patient record review, 1 of 5 (Patient #3) did not have evidence that Social work services are based on the patient's psychosocial assessment and the patient/family's needs and acceptance of these services. Patient #3: During the RN Initial assessment of this patient they wanted help talking to the children about advanced directives, "in case they did not agree". RN stated that patient ok with a social worker visit. No social worker visit was made and no further documentation was noted regarding need for social worker.

Upon personnel record review, 1 of 12 (Personnel #9) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel #9: The competency for "communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff", and the competency for "Reading and recording temperature, pulse, and respiration" were marked as verbal competency despite it being one of the specific tasks to be completed with a patient.