Based on record review and interview, the facility failed to provide volunteers to meet the 5% total patient care hours of all employee and contracted staff. This had the potential to affect all patients. The agency census was 58. --- Review of the document titled Hospice Volunteer Requirement Report from May 2024 through April 2025 revealed no month when volunteers met 5% of the total patient care hours of staff paid by the agency. The volunteer hours per month were as follows: May 2024 0.14%, June 2024 1.18%, July 2024 0.58%, August 2024 0.32%, September 2024 0.72%, October 2024 1.02%, November 2024 1.60%, December 2024, 2.01%, January 2025 2.74%, February 2025 0.15%, March 2025 0%. and April 2025 had 1.93%. Interview on 05/15/25 at 1:51 P.M. with the Administrator, confirmed the agency was not meeting the volunteers of at 5% of the total patient care hours. Review of agency policy titled “Documentation of Volunteer Utilization,” updated October 2019, asserted the hours of volunteer services will exceed 5% of the total patient care hours.
Every finding on record at Adoration Hospice Care Ohio LLC
Independence, Ohio · CCN 361694
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of May 15, 2025
1 finding← Back to the Adoration Hospice Care Ohio LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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