Every finding on record at Forever Hospice, Inc.

Observed in Record Review. In 1 of 11 patient records reviewed, the organization did not assure plan of care revisions included information from the patient's updated comprehensive assessment, and addressed the patient's progress toward goals and outcomes. In RR#2, the plan of care revisions documented at the Interdisciplinary Team (IDT) Meetings did not reflect the patient's updated wound assessments and progress towards goals/outcomes. The IDT plan of care update notes repeatedly indicated the patient had unstageable pressure ulcers to the right and left buttocks, with no notations regarding progress toward wound goals. The wound assessments documented by the wound care certified RN indicated the patient had improving stage 3 pressure ulcers of the left and right buttock, and a stagnant stage 3 pressure ulcer to the right trochanter. This was reveiwed and verified with the Administrator/DPCS.

Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not implement the infection prevention and control activities it has planned, including standard precautions to protect against possible exposure to infectious agents. In HV#1, the hospice aide failed to perform hand hygiene consistent with organizational policy/CDC guidelines. At the start of the visit, the hospice aide performed hand hygeine with hand sanitizer and water at the bathroom sink and dried hands with paper towel. When asked about the practice of not using soap and water, the aide did retrieve liquid soap from the field bag and re-washed hands with soap and water prior to providing care. This was reveiwed and verified with the Director of Patient Care Services/Administrator and Quality Coordinator.