Every finding on record at Camellia Hospice of Northeast Mississippi, LLC

Based on staff interviews, medical record reviews, and policy/procedure review the facility failed to ensure Licensed Practical Nurse (LPN) supervisory visits were made by the Registered Nurse (RN) at least every 14 days to assess compliance with the plan of care and determine progress towards goals on three (3) of 16 medical records reviewed; Patient #16, #17, and #18. --- Findings include: An interview with Clinical Team Lead on 09/26/2024 at 11:31 a.m. confirmed LPN #1 made visits on Patient #16 on 09/04/2024, 09/09/2024, 09/17/2024, 09/18/2024, and 09/23/2024. RN #2 failed to perform LPN supervisory visit on 09/13/2024; RN #1 failed to perform LPN supervisory visit on 09/20/2024. An interview with Clinical Team Lead on 09/26/2024 at 12:10 p.m. confirmed LPN #1 made visits on Patient #17 on 08/12/2024, 09/09/2024, and 09/13/2024; LPN #2 made visits on Patient #17 on 09/03/2024. RN #1 failed to perform LPN supervisory visits on 08/23/2024, 08/30/2024, 09/18/2024, and 09/24/2024; RN #2 failed to perform LPN supervisory visit on 08/21/2024, 09/05/2024, and 09/19/2024. An interview with Clinical Team Lead on 09/26/2024 at 1:15 p.m. confirmed LPN #2 made visits on Patient #18 on 08/14/2024 and 08/27/2024. RN #3 failed to perform LPN supervisory visits on 08/22/2024, 09/03/2024, 09/11/2024, 09/19/2024, and 09/25/2024. Review of the medical record for Patient #16 revealed LPN visits on 09/04/2024, 09/09/2024, 09/17/2024, 09/18/2024, and 09/23/2024, and RN visits on 09/13/2024 and 09/20/2024 with no evidence of documented LPN supervisory visits. Review of the medical record for Patient #17 revealed LPN visits on 08/12/2024, 09/03/2024, 09/09/2024, and 09/13/2024, and RN visits on 08/21/2024, 08/23/2024, 08/30/2024, 09/05/2024, 09/18/2024, 09/19/2024, and 09/24/2024 with no evidence of documented LPN supervisory visits. Review of the medical record for Patient #18 revealed LPN visits on 08/14/2024 and 08/27/2024, and RN visits on 08/22/2024, 09/03/2024, 09/11/2024, 09/19/2024, and 09/25/2024 with no evidence of documented LPN supervisory visits. Review of the facility policy titled ";Personnel competency & supervision" with no date revealed, ";...Policy...3.4.2.2 On site supervision of field staff will be performed as follows...3.4.2.2.3 Licensed Vocational Nurses/Licensed Practical Nurses by state: see Appendix P01.1...". Review of the facility policy titled, ";Appendix – LPN/LVN Supervision by state", Original issue date: 02/17/2020, Revised date: 10/26/2023 revealed, "...Mississippi...Every 14 days...LPN not required to be present...". During the exit conference on 09/26/2024 at 02:30 p.m. with the Regional Administrator, Branch Administrator and Office Manager, survey findings were discussed, and no further documentation was submitted for review.