Every finding on record at Camarillo Hospice Care, Inc.

Observed in Record Review. In 4 of 4 active patient records reviewed, the organization did not plan the patient's care to include all services needed for the management of the terminal illness and related conditions. Identified during the record review for RR HV#1, RR HV#2, RR HV#3, and RR NHV#1 the Medical Social Worker identified during the initial psychosocial visits that the patients had no burial/funeral plans, yet this need was not included in the individualized plans of care. This was reviewed and validated with the Administrator.

Observed in Patient Home. In 2 of 2 home visits conducted where reusable medical equipment was utilized in the provision of patient care, the organization did not reduce the risk of infections associated with medical equipment in accordance with organizational policy no. 9-014.2-Bag Technique. Observed during both RR HV#1, and RR HV#3, the Licensed Vocational Nurse (LVN) removed the following equipment from the clean side of the nurse bag: a stethoscope, infrared thermometer, blood pressure cuff, and pulse oximeter, and placed them onto a paper towel barrier prior to use. Following the patients' assessments, the LVN returned the used equipment to the paper towel barriers. The LVN then disinfected the reusable medical equipment, and placed the disinfected equipment back onto the same used/soiled barrier prior to returning the equipment to the clean side of the nurse bag. This was reviewed and validated with the Administrator. Observed in Patient Home. In 1 of 3 home visit observations conducted, the clinician failed to perform hand hygiene in accordance with policy no. 9-009.2 - Hand Hygiene. Observed during RR HV#2, following providing patient care, the hospice aide washed his hands with soap and water, and then dried his hands and turned off the faucets with a paper towel that he had previously placed on the toilet seat as a barrier. This was reviewed and validated with the Administrator.

Observed in Patient Home. In 1 of 2 home visits conducted where a medication reconciliation was completed, the patient record did not reflect accurate clinical information. Identified during the RR HV#1, the patient's medication profile inaccurately listed Levothyroxine 88 mg instead of 88 mcg. During the visit it was also identified that the patient had been using a QVAR inhaler, 80 mcg, that was not listed on the patient's medication profile. This was reviewed and validated with the Administrator.

Observed in Patient Home. In 2 of 2 home visits conducted, RR HV2, and RR HV3, where the patients had hospital beds with a full side rail in the up position, and the alternate side of the bed against the wall, there was no evidence that the organization had provided education on the potential risks associated with restraint-like medical equipment. Upon review of the Patient Admission Binder and the Patient Information Booklet there were no safety instructions or potential risk information included. This was reviewed and validated with the Administrator.