Every finding on record at Faith Foundation Hospice, Inc

Based on record review and interview the agency failed to follow an individualized written plan of care established by the hospice interdisciplinary group, attending physician and patient or there representative in accordance with the patients needs by not following the visit frequency established for 3 (Patient #7, Patient #8, and Patient #10) of 11 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, Patient #7, Patient #8, Patient #9, Patient #10 and Patient #11) records reviewed. --- 1. Review of Patient #7s 04/24/2024 – 07/22/2024 CPOC revealed a MSW visit frequency of 2 times per month. Review of Patient #7 visit notes revealed there were no MSW visits conducted during the above dates. The last MSW visit was completed on 01/27/2024. 2. Review of Patient #8s 05/17/2024 – 07/15/2024 CPOC revealed a MSW visit frequency of 1 time a month. Review of Patient #9s visit notes revealed there were no MSW visits conducted since 03/15/2024. 3. Review of Patient #10s 04/22/2024 – 06/20/2024 CPOC revealed a MSW visit frequency of 2 times per month. Review of Patient #10s visit notes revealed there were no MSW visits conducted during the above dates. The last MSW visit was completed on 03/15/2024. Interview on 06/18/2024 at 1:30 p.m. with S1 Administrator and S2 Office Manager confirmed MSW visits were not performed according the CPOC for Patient #7, Patient #8 or Patient #10.

Based on record review and interview the agency failed to maintain, document and provide volunteer orientation and training that was consistent with hospice industry standards by failing to provide hospice training to agency volunteers. --- Review of S3 Volunteer and S4 Volunteer personnel records revealed no documentation of required hospice training. Interview on 06/18/2024 at 1:48 p.m. with S1 Administrator and S2 Volunteer Coordinator/Office Manager confirmed there was no volunteer training provided for S3 or S4 Volunteers.