Every finding on record at Crisis Hospice and Palliative Care Inc

Observed in Individual Tracer. In 2 of 3 home visits conducted, the hospice did not conduct and document a patient specific comprehensive assessment. In HV #1 and HV #2, the surveyor noted the skilled nurse did not assess the patient's bottom for skin breakdown although the patient was at high risk for skin breakdown per the braden risk score. Per organization policy, skin assessment was required. This was confirmed with the Director of Nursing.

Observed in Record Review. In 1 of 5 patient records reviewed, the plan of care did not include interventions to manage pain and symptoms. In HV #2, the surveyor noted the patient was identified as having shortness of breath; however, the plan of care did not include interventions to address this identified need. This was confirmed with the Director of Nursing.

Observed in Individual Tracer. In 1 of 3 home visits conducted, the organization did not use standard precautions to reduce the risk of infection. In HV #2, the surveyor noted the skilled nurse did not wear a mask into the home as required by the organization's policy Universal Precautions. This was confirmed with the Director of Nursing.