Every finding on record at American Premier Hospice LLC

Observed in Record Review. In 1 of 13 patient records reviewed, the Surveyor noted an initial bereavement assessment had not been completed within the 5 days from election of the Hospice Benefit. RR #6, the patient had 2 different hospice admissions with a discharge and then readmission within 7 days. The readmission to hospice, had not included a repeat of the initial bereavement assessment. This was validated with the Director of Nursing.

Observed in Record Review. In 6 of 11 patient records reviewed, that had a Hospice Aide assigned, the Surveyor noted the HCO had not followed their Policy No. 2-006.1: Hospice Aide Services as the Hospice Aide Plan of Care (HA POC) did not have specific instructions related to 'supportive tasks as assigned', as well as functional limitations and activities permitted. For example, in HV/RR #1, the HA POC for a bedbound patient with a fractured hip had 'assist with ambulation'. HV/RR #3, the Aide assists patient with removal of hearing aides, but this had not been on the POC. RR #6 the aide documented the use of a Hoyer Lift; however, This device use had not been assigned on the POC. RR #7 and RR #8, the patients had been dependent on home Oxygen, but the POC had not addressed what the aide could do with the oxygen while bathing. RR #11, the HA POC areas of activities permitted and functional limitations had been blank. Nursing documentation revealed that the patient required assistance with ambulation and device use. This was validated with the Director of Nursing.