Every finding on record at Bridges Hospice, Inc.

Based on review of clinical records (CR) and staff (EMP) interview, the hospice failed to ensure that the hospice aide followed the nurse developed plan of care for one (1) of three (3) CR reviewed. (CR2) --- Findings included: Review of CR2 on July 29, 2023, at approximately 11:30am revealed start of service date 4/5/2023. Initial comprehensive assessment included Functional status assessment specifying patient to be an assist of 2 to transfer. Hospice Aide care plan developed 4/5/2023 included the assigned task of Two-person assist to transfer. During interview with EMP2 on 7/28/2023 at approximately 12:15pm the aide stated that a bed bath was performed, the patient was dressed in bed and regular socks were put on. The aide reports then transferring the patient to a wheelchair, turning around to find slipper socks and at this time the patient had fallen out of the wheelchair. Interview confirmed no additional assistance was obtained with transfer of patient. Aide reported picking the patient up, placing in wheelchair and bringing to a nurse because the facility is short-staffed, and help was unable to be summoned. Exit interview with Executive Director and Administrator on 8/2/2023 at 9:45am confirmed findings.