Observed in Patient Home. where medications were reconciled, a clinician failed to conduct an effective assessment. At HV#1 an RN did not reconcile medications. According to the Medication Management policy 3.36, this is to be done during every nursing visit. This was reviewed with the Executive Director and other local and regional leaders.
Every finding on record at Charter Healthcare of Northern Colorado, LLC
Loveland, Colorado · CCN 061610
6 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of November 4, 2022
6 findingsObserved in Record Review. In 1 of 11 patient records reviewed, the hospice failed to complete a bereavement assessment as part of the initial comprehensive assessment in the record of RR#3 and RR#6. This was reviewed with the Executive Director and other local and regional leaders.
Observed in Record Review. In 6 of 11 patient records reviewed, the hospice did not ensure that goals established in patients’ plans of care evaluated progress. In every record reviewed it was noted that most goals did not include measurements to indicate progress or decline. While most did include completion dates, goals were not revised when timelines for completion were not met. This was reviewed with the Executive Director and other local and regional leaders.
Observed in Record Review. In 3 of 11 patient records reviewed, where oxygen was in use, the hospice orders did not meet patients' needs. In the records of RR#2, RR#5 and RR#7 the surveyor found s no written oxygen orders. This was reviewed with the Executive Director and other local and regional leaders.
Observed in Record Review. In 2 of 3 patient records reviewed, where patients discharged, the hospice did not communicate with other health care professionals when transferred or discharged. This was noted in the records of RR#4 and RR#5.
Observed in Record Review. In 2 of 3 patient records reviewed, where continuous oxygen was ordered, the hospice did not document instructions in aide plans of care for it not to be removed during bathing. This was found in the records of HV#2, RR#2. This was reviewed with the Executive Director and other local and regional leaders.
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Federal survey findings only. State licensure findings for hospices are not shown.
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