Every finding on record at Citadel Hospice Care

Upon patient record review, 2 of 14 (Patient #11,12) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested #11,12-There is no evidence that the agency forwarded a copy of the discharge summary to the attending physician.

Upon personnel record review, 1 of 1 applicable (Personnel #4) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Appropriate and safe techniques in personal hygiene and grooming that include-- (C) Shampoo, sink, tub, and bed Personnel Record #4: The HA Competency checklist currently utilized by the agency does not differentiate types of shampoo to include sink, tub and bed, but "shampoo, tub, shower, bed" only. Therefore, this competency is not validated in its entirety.