Every finding on record at Alta Verdugo Consulting Inc.

Observed in Individual Tracer. The organization did not implement the infection prevention and control activities it has planned. During hospice home visit 1 it was observed that the nurse did not cleanse her hands after cleaning the wound and before applying the new dressing on the patient's toe. This was confirmed by the Director of Patient Care Services. Observed in Individual Tracer. In 2 of 4 home visits conducted, The organization did not implement the infection prevention and control activities it has planned. During hospice home visit 1 it was observed that the nurse did not wash her hands before entering the nursing bag after entering the home as per organizational policy. During home visit 3 it was observed that the nurse did not cleanse his hands after cleaning equipment and before entering the nursing bag. This was confirmed by the Director of Patient Care Services. Observed in Individual Tracer. The organization did not implement the infection prevention and control activities it has planned. During hospice home visit 1, it was observed that the nurse did not cleanse her hands between donning and doffing gloves as per organizational policy. This was confirmed by the Director of Patient Care Services. Observed in Individual Tracer. In 2 of 4 home visits conducted, The organization did not implement its infection prevention and control activities, including surveillance, to minimize, reduce, or eliminate the risk of infection. During hospice home visit 1 and palliative care visit 1 it was observed that the nurse disinfected the equipment that was used to take vital signs and placed the equipment back on the barrier that the dirty equipment had been placed on. This was confirmed by the Director of Patient Care Services. Observed in Individual Tracer. The organization did not implement the infection prevention and control activities it has planned. During hospice home visit 1, it was observed that the nurse took vital signs and disinfected the equipment with Sani-wipes rather than alcohol as per organizational policy. This was confirmed by the Director of Patient Care Services.

Observed in Record Review. The organization did not provide a written summary to the patient’s physician in accordance with law and regulation. During review of hospice discharge record 7 it was noted that there was not documentation of the discharge summary being offered to or sent to the physician. This was confirmed by the Director of Patient Care Services.