Every finding on record at Calumet County Hospice Agency

Based upon record review and interview, the agency failed to provide orientation about the hospice philosophy in 14 of 14 personnel (Substitute Administrator/Nurse Coordinator A, Administrator C, Medical Director D, Spiritual Counselor E, Social Worker F, Registered Nurse (RN) G, RN H, RN I, Physical Therapist J, Occupational Therapist K, Speech Therapist L, Hospice Aide M, Hospice Aide N, and Hospice Aid O) records reviewed. --- Findings include:Review of agency policy titled, "Employee Orientation Policy" (date revised 08/12/2011) revealed in part, "Staff members employed by the Calumet County Home Health Care and Hospice Agency complete a basic individualized orientation program. To orient Home Health Care/Hospice Employees, Volunteers, and Contracted Staff to the philosophy, services, policies, and procedures of the agency."Record review of personnel record for Substitute Administrator/Nurse Coordinator A (date of hire 01/02/2019) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Administrator C (date of hire 01/02/1997) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Medical Director D (date of hire 001/01/2021) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Spiritual Counselor E (date of hire 05/20/2019) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Social Worker F (date of hire 01/02/2019) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Registered Nurse G (date of hire 10/06/2020) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Registered Nurse H (date of hire 12/05/2022) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Registered Nurse I (date of hire 01/30/2024) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Physical Therapist J (date of hire 03/28/2014) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Occupational Therapist K (date of hire 10/01/2021) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Speech Therapist L (date of hire 04/29/2024) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Hospice Aide M (date of hire 07/07/2021) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Hospice Aide N (date of hire 07/05/2024) revealed no evidence of completion of orientation to hospice.Record review of personnel record for Hospice Aide O (date of hire 06/30/2005) revealed no evidence of completion of orientation to hospice.During an interview with Substitute Administrator/Nurse Coordinator A on 05/20/2025 at 11:20 AM, when asked if there was any evidence of completion of orientation specific to hospice including the philosophy of hospice for any of the employees listed above, A stated, "No, we don't have anything."