Every finding on record at Chi Health Connect at Home-Fargo

Based on record review, policy review, and staff interview, the Hospice failed to update the plan of care for 1 of 10 sampled patients (Patient #1) currently receiving Hospice services. Failure to review and revise the plan of care with information from the patient's updated comprehensive assessment limited the staff's ability to communicate treatment approaches and interventions to ensure continuity of care. --- Findings include:Review of the agency policy titled "Volunteer Program" occurred on 05/29/25. This policy, dated December 2010, stated, ". . . Policy: . . . to utilize the volunteer as an integral part of the interdisciplinary group. Procedure: . . . It is the intention of hospice to utilize volunteers to supplement the care being provided . . ."Review of Patient #1's medical record for the current certification period of 03/09/25 to 06/06/25 occurred on May 28-29, 2025. Diagnoses included malignant tumors, dementia, and anxiety. The current plan of care contained an order for "Hospice medical social worker to evaluate . . . need for additional care/resources, adjustment to care and develop a plan of care. . . ." The Interdisciplinary Group (IDG) Comprehensive Assessment and Plan of Care Update Report, for the IDG meeting dated 03/12/25, stated, ". . . Current Meeting Summary: . . . Social Worker: . . . Volunteer Needs: Volunteer requested for socialization. . . ." Hospice staff held an IDG meeting every two weeks from March 12 to May 21 but the meeting summary lacked an update to the use of volunteers.Review of volunteer progress notes showed a volunteer visited Patient #1 on eight occasions between 01/27/25 and 3/6/25 and provided the service of companionship. The record contained no volunteer progress notes for the current certification period.During an interview on 05/28/25 at 4:50 p.m., the volunteer coordinator (#1) stated the volunteer was no longer seeing Patient #1 due to personal family issues but failed to notify her until today. She planned to assign another volunteer.During an interview on 05/29/25 at 10:15 a.m., an administrative staff member (#2) stated information regarding volunteer services and frequency of visits "should be on the plan of care" and agreed Patient #1's care plan lacked this information.