Every finding on record at Compassus Bsmh Lourdes Hospice, LLC

It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 16 (6%) clinical records reviewed of patients that received Hospice Aide services, the agency did not ensure that the HA received written patient instructions to meet the patient's needs. CLINICAL RECORD 1: The patient elected hospice care on 08/27/2025 with a diagnosis of multiple myeloma. For the certification period 10/21/2025 through 12/19/2025, the plans of care ordered Hospice Aide services 2 times per week. The HA care plan, last updated on 08/29/2025, assigned the HA the task to notify the nurse if the coccyx wound dressing became soiled or dislodged. On 10/22/2025, the physician ordered skilled nursing (SN) to apply a Mepilex dressing to the patient's forehead. On 11/03/2025, the physician ordered wound care for the patient's second medial toe. The HA care plan was not updated to include instructions for the HA regarding the new wound dressing areas on the head or toe, should they become soiled or dislodged. During the interview and review of the clinical record on 12/02/2025, the Director of Clinical Services confirmed that the HA care plan had not been updated to reflect the patient's change in condition on 10/22/2025 and 11/03/2025.