Every finding on record at Brighton Hospice Oregon LLC

Based on interview, review of policy and procedure and review of personnel file for 1 hospice aide (Employee #5) with a hire date of 9/27/2021, it was revealed that the agency failed to ensure that the hospice aide received at least 12 hours of in-service training over a 12-month period. --- Findings: Review of the agency's policy and procedure titled "Orientation and Annual Training," with an effective date of "5/31/2016," revealed the following statement under a section titled "Aide," "1. Aides will be provided at least the annual 12 hours of clinical training." Review of Employee #5 personnel file revealed a total of 11 education hours documented from 10/24/2021 to 6/8/2022. The documentation lacked the required 12 hours of in-service training for the 12-month period beginning with their hire date of 9/21/2021 to 9/20/2022. Furthermore, there lacked education hours documented for the period beginning 9/21/2022 to survey exit on 9/12/2023. During an interview with the Interim Administrator on 9/12/2023 beginning at 3:00 PM the findings were presented. They stated, "We definitely own this and will be following up with this employee with a plan of correction."

Based on personnel file review, review of policy and procedure and staff interview it was determined the hospice failed to ensure that an initial orientation and/or a signed job description addressing the employee's specific duties had been documented for each staff member in 7 of 8 employees and 1 of 4 volunteer files reviewed. --- Findings: Review of the personnel files of employees #2, #3, #4, #5, #6, #7, and volunteer #1 revealed that each personnel file was lacking documentation to reflect that each employee and volunteer received an initial orientation or had a signed job description of their specific job duties. Employee #2: The employee's date of hire is 1/16/2023. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a signed job description of their specific job duties. Employee #3: The employee's date of hire is 11/4/2020. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a completed orientation for a new employee. Employee #4: The employee's date of hire is 8/19/2019. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a completed orientation for a new employee. Employee #5: The employee's date of hire is 9/27/2021. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a completed orientation for a new employee. Employee #6: The employee's date of hire is 12/13/2022. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a signed job description of their specific job duties. Employee #7: The employee's date of hire is 5/23/2023. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a signed job description of their specific job duties. Volunteer #1: The volunteer's date of hire is 11/28/2022. At the time of the personnel file review conducted on 9/8/2023, there lacked evidence of a signed job description of their specific job duties. Review of the policy titled "Orientation and Annual Training" with an "Effective Date of 5/31/2016", states "The agency orientation program will be planned for all new and re-activated employees, contractors and volunteers, if applicable, to orientate employee with policies, procedures, objectives and to be informed of the expectations of job duties in his or her role. ... Signed job descriptions are incorporated into the employee's personnel file." During an interview with the Interim Administrator on 9/12/2023 beginning at 3:00 PM these findings were presented. They acknowledged the findings and expressed this was a good opportunity to go through the employee files and see that they get completed.