Every finding on record at Athc - Hospice, LLC

It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. This standard was not met as evidenced by document review and interview. The agency did not ensure that hospice volunteers provided day-to-day administrative or direct patient care services in an amount that equaled at least five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. A joint review of the agency's report titled "Volunteer Data” with the Volunteer Coordinator on 02/26/2026 revealed that volunteer utilization for the agency was below 5% per regulation. The annual volunteer report for calendar year 01/01/2024 through 12/31/2024 revealed volunteer utilization was 2.45%. The annual volunteer report for calendar year 01/01/2025 through 12/31/2025 revealed volunteer utilization of 3.98%. During an interview on 02/25/2026, the Volunteer Coordinator stated, " We have had challenges recruiting volunteers; since last year, we have not been able to recruit enough volunteers, and we did not meet the 5% requirement. We are currently in the process of recruiting more volunteers." An active volunteer recruitment and retention program is in progress. No further information was provided. During an interview on 02/25/2026, the Director of Clinical Operations confirmed the findings and agreed that the 5% requirement was not met and that they now have recruitment and retention processes in place. A joint review of the agency report titled "Volunteer Data.” with the Volunteer Coordinator on 02/26/2026 revealed that volunteer utilization for the agency was below 5% per regulation. The annual volunteer report for calendar year 01/01/2024, through 12/31/2024 revealed volunteer utilization was 2.45%. The annual volunteer report for calendar year 01/01/2025, through 12/31/2025, revealed volunteer utilization of 3.98%.