Every finding on record at California Hospice Corp

Observed in Record Review. In 6 of 10 patient records reviewed, In 6 of 10 records reviewed, all goals in the plan of care were to be achieved by the last day of the benefit period for RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#5, RRNHV#6 and RRNHV#7 as evidenced by reduce pain, reduce bladder bowel incontinence. This was reviewed with the Administrator designee. Observed in Record Review. In 1 of 2 patient records reviewed, the agency did not document or provide a discharge summary to the physician as required in RRDC#1. In addition, the organization failed to provide services in accordance with the licensure requirements, laws rules and regulations. At the time of admission, RRDC#1 patient or designee signed the revocation at the time of admission. In addition, there was no evidence of a NOMNC being provided to patient prior to discharge. This was reviewed with the Administrator designee.

Observed in Record Review. In 7 of 10 patient records reviewed, the organization failed to write orders in accordance with the standards of practice. In records RRHV#1, RRHV#2,RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#5, RRNHV#6 visit frequency orders did not include the number and reasons for the prn visits. This RFI was reviewed with the Administrator designee.

Observed in Individual Tracer. In 2 of 3 tracers conducted, Hospice surveyor noted the nurse making home visits #1 and #2 had extremely long nails approximately 3/4 of an inch to an inch beyond the fingertip. The organizations policy stated nails will be an appropriate length for safe clinical practice . This was confirmed by the QAPI Nurse.

Observed in Individual Tracer. In 3 of 11 patient records reviewed, Hospice surveyor noted for HV1, HV2 and HV3 the initial social work assessment and follow up visits by the social worker were done by telephone. The social worker documentation did not indicate that this was a patient or family member preference. These records did not have any social worker in person visits. This was confirmed by the QUAPI Nurse.

Observed in Individual Tracer. In 1 of 3 home visits conducted, Hospice surveyor noted for home visit #3, the most current medication profile provided to the surveyor did not contain the medication Vitamin B12 1000mcg daily. The patients daughter confirmed that the patient had been taking this medication, The medication had been filled on 3/11/22.