Every finding on record at Comfort Care Hospice, LLC

It is required that bags used to carry medical equipment (e.g., BP cuff) or supplies into or out of the care environment are transported and used in a manner consistent with organizational policy to prevent the spread of infections and communicable diseases. This standard was not met as evidenced by document review and observation on home visits. Bag Technique Policy Policy Number H907, revised April 1, 2020, states in part, "PROCEDURE 2. Identify clean and dirty compartments of the bag. Dirty compartments are the exterior pockets; clean compartments are the interior pockets. 3. Gather hand washing supplies. 4. Wash hands. Use soap and water if available and turn off the faucet with paper towel. Hand sanitizer may also be used to cleanse hands. 5. Remove all equipment needed for home visit from the clean compartment of bag and place items on barrier. Close bag. 6. Proceed with care and wash hands before any subsequent re-entries into bag. Bag should be kept closed after each entry." 1 of 3 (33%) observed visits identified that agency-defined bag technique was not followed. Home Visit 1: During an observed visit on 12/6/2022 it was noted that the employee (Personnel Record 6) opened and entered her bag 4 different times, into 4 different compartments, without washing hands or applying hand sanitizer. The Interim Director/Clinical Manger was interviewed on 12/6/2022 and stated that the employee would be retrained in proper bag technique.