Every finding on record at Compassionate Hospice Care, Inc.

Based on record review and staff interview, the facility volunteer staff failed to ensure that volunteer services was provided by the staff for two of 14 sampled patients (Patients 4 and 5). Findings: 1. On 2/3/22, a review of Patient 4's clinical record disclosed a start of care date on 07/16/21, with diagnoses taken as Alzheimer's disease and dementia. During the certification period on 7/16/21 through 1013/21; and 1/12/22 through 3/12/22, Patient 4's interdisciplinary group (IDG) and initial plan of care (POC) assessment did not include the volunteer staff to ensure the services was offered or provided. On 2/3/22, at 11 a.m., during home visit at the skilled nursing facility, Patient 4 was observed in bed. She was alert but confused. She was not able to respond when asked if there was a volunteer staff from the hospice visited her. On 2/7/22, at 1 p.m., the agency volunteer staff was interviewed and indicated that it was difficult for them to arrange to go to the facility due to pandemic season. However, this was not documented in Patient 4's IDG meeting. 2. On 2/3/22, a review of Patient 5's clinical record disclosed a start of care date on 011/25/21, with diagnosis taken as atherosclerosis of aorta. During the certification period on 11/25/21 through 2/22/22, Patient 5's interdisciplinary group (IDG) and initial plan of care (POC) assessment did not include the volunteer staff to ensure the services was offered or provided. On 2/3/22, at 10 a.m., during home visit at the skilled nursing facility, Patient 5 was observed in bed. He was alert but confused. He was not able to respond when asked if there was a volunteer staff from the hospice visited him. On 2/7/22, at 1 p.m., the agency volunteer staff was interviewed and indicated that it was difficult for them to arrange to go to the facility due to pandemic season. However, this was not documented in Patient 5's IDG meeting.