Every finding on record at Aster Hospice Inc

Observed in Patient Home. In 1 of 3 home visits, surveyor observed that clinician did not consistently use measures to prevent infection. For example, in HV#2, after the nurse performed hand hygiene then donned gloves to assess patient's vitals signs, the nurse assisted the hired caregiver with incontinence care using the same gloves, then during the course of assisting with providing incontinence care, the nurse left patient's bedside to get incontinence supplies from the bathroom, without removing the gloves, touching the bathroom door with the same gloves, then returned to continue assisting with incontinence care with the same gloves. This was reviewed with the Director of Nursing. Observed in Patient Home. In 1 of 3 home visits, surveyor observed that clinician did not consistently use measures for infection control. For example in HV#1 the nurse used a pen light during the assessment of patient, but failed to clean the pen light after use and before returning equipment to nursing bag. This was reviewed with the Director of Nursing.

Observed in HR File Review. Following the HR file review for the home health aide, the hospice surveyor noted that the aide did not successfully complete a competency evaluation before providing patient care. There were initial competencies documented upon hire early in March 2021 but the aide did not see any patients until November 2021. This was confirmed with the Director of Patient Care Services designee.

Observed in HR File Review. In 2 of 8 HR files reviewed, the hospice surveyor noted that the organization did not verify and document licensure verification with the primary source. During review of the personnel files for the Hospice Medical Director and the Director of Patient Care Services , it was noted that licensure verification was not verified with the primary source upon renewal. Both licenses expired in July of 2021. These were verified onsite at the time of survey. This was confirmed with the Director of Patient Care Services Designee.