Every finding on record at Arden Hospice Care, Inc.

Observed in Record Review. In 2 of 13 patient records reviewed, during record review for HV#1 and HV#3, the Hospice Nurse Surveyor observed the POC goals did not have reasonable time frames for achieving the listed goals. For example: in HV#1, constipation was listed as a problem with no target date for the intervention. And in HV#3, the POC listed anxiety as a problem but was listed as resolved. During HV with HV#3, the Hospice Nurse Surveyor observed patient having episodes of anxiety which husband confirmed had been still happening. This was verified with the QAPI nurse.

Observed in Record Review. In 2 of 13 patient records reviewed, during HV#1 and RR#4, the Hospice Nurse Surveyor observed the LVN did not contact the IDG with changes in condition. For example: in HV#1, the LVN did a PRN visit for bladder distention/ pain and vomiting on 10/11/21 but there was no communication to the RN who made a visit on 10/12/21 and did not address those concerns. In RR#4, on 10/11 the LVN noted redness and dehydration but there was no communication to the IDG documented. This was verified with the QAPI nurse.

Observed in Patient Home. In 2 of 3 home visits conducted, during HV#2 and HV#3, the Hospice Nurse Surveyor observed the organization did not implement the infection prevention and control activities it had planned. The LVN failed to perform hand hygiene after removing her disposable gown which was inconsistent with the organizational policy on Infection Prevention and Control POLICY NO. 9-001. C This was verified with the QAPI nurse.

Observed in Patient Home. In 2 of 3 home visits conducted, during HV#2 and HV#3, the Hospice Nurse Surveyor observed the LVN did not follow the organization's bag technique policy.  The nursing bag was placed on the patient's floor without a barrier throughout the visits.  The organization's policy included that the bag should not be placed on the patient's floor. This was verified with the organization's QAPI nurse.