Every finding on record at Compassus Op of Pennsylvania, LLC

It is required that Hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. The hospice documents the cost savings achieved through volunteers. Documentation includes: the identification of each position that is occupied by a volunteer; the work time spent by volunteers occupying those positions; [and] estimates of the dollar costs that the hospice would have incurred if paid employees occupied the positions noted in Item 1 and for the durations noted in Item 2. This standard was not met as evidenced by document review and interview. The agency did not ensure that hospice volunteers provided day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. A review of the agency's volunteer cost savings report revealed that volunteers provide day-to-day administrative or direct patient care services at an average of 2.82% for the calendar year 2024. During the review of the volunteer cost savings report, the Interim Volunteer Coordinator verified that the agency has not met the 5% requirement. The Interim Volunteer Coordinator stated that the agency is actively recruiting a Volunteer Coordinator to manage the volunteer program and has a performance improvement plan (PIP) in place to increase volunteer recruitment. The agency did not ensure that hospice volunteers provide day to day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. The agency averaged 2.15% for calendar year 2023 and 2.82% for calendar year 2024.