Every finding on record at Blue Butterfly Hospice, Inc.

Observed in Record Review. In 7 of 11 patient records reviewed, It was found on review of 7 of 11 patient records that the Chaplain documented in IDG that he was seeing these patients monthly however he was only seeing the patients at SOC and at time of recertification. There was no documentation as to why he did not do monthly visits. This was verified wit the Manager/LVN

Observed in Individual Tracer. It was observed on HV#1 that the nurse used a Sani Wipe to clean his equipment used on the patient. Manufacture guild lines document that the Sani Wipe should remain on the equipment for 2 minutes wet. The nurse wiped the equipment however he did not keep the equipment wet for 2 minutes.

Observed in Individual Tracer. It was found on interview with the RN Charge Nurse at the SNF that the organization had not received training or education to hospice services from Blue Butterfly Hospice. The RN stated she had worked in the SNF for 6 years and had never had inservices or training from Hospice.

Observed in HR File Review. In 2 of 7 HR files reviewed, It was found in review of the MSW and Chaplain personnel files that credentials were not verified with the institutions were they obtained their education. This was verified with the business manager.