Every finding on record at Allegiance Hospice Care of West Central Louisiana LLC

It is required that hospice aides are supervised by a registered nurse who makes an on-site visit to the patient’s home no less frequently than every 14 days to: Assess the quality of care and services provided by the hospice aide; Ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. The hospice aide does not need to be present. This standard was not met as evidenced by clinical record review and interview. In 2 of 11 (18%) clinical records reviewed for patients that elected hospice aide services revealed that the agency did not ensure that hospice aide services were supervised by a registered nurse no less frequently than every 14 days. Clinical Record 1: The patient elected the hospice benefit on 02/23/2024. The plan of care for benefit period 06/22/2024 to 08/20/2024 included an order for aide services five (5) times a week. The patient received aide services as ordered starting on 06/24/2024. The first aide supervisory visit was completed on 06/27/2024, 07/03/2024 then 07/19/2024 which is 16 days. Clinical Record 7: The patient elected the hospice benefit 03/01/2024. The plan of care for benefit period 04/30/2024 to 06/28/2024 and 06/29/2024 to 07/06/2024,included an order for aide services ordered 2 times per week. The patient received aide services as ordered starting on 04/30/2024. The first aide supervisory visit was completed on 05/02/2024, 05/07/2024, 05/30/2024, which was 23 days, 06/04/2024, and 06/13/2024. The aid supervisory visit was not completed again before the patient's death on 07/06/2024 which is 23 days. During an interview with the Administrator on 11/25/2024 she stated that she could not find an additional aide supervisory visit for that benefit period when she also reviewed the record.