Every finding on record at Glenoaks Hospice Care

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #1,2,3, LVN has roller bag, rolled across the street up the sidewalk into home. Had bag on the wheels on the floor, removed a barrier pad, placed pad on chair then lift roller bag onto chair. Then after using equipment to take patient vitals laid them next to the bags wheels. LVN also used gloves and used sanitizer on the gloves instead of changing gloves.

Upon patient record review 1 of 11 (Patient #5) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #5, Aide completed continent/incontinent care without direction on Plan of Care.

Upon patient client record review, 3 of 11 (Patient #2, 9, 10) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #2, Missing RN signature on IDG notes on 11/22/22, 11/8/22, 10/25/22, 8/30/22. Missing signature on MSW note of 9/15/22. Missing LVN signature on visit note of 12/2/22. Patient #9, Missing RN signature on discharge summary. Patient #10, Missing BC signature on Bereavement plan of care.

Upon client record review, 2 of 11 (Patient #10,11) did not have evidence that the discharge summary includes all required information. Patient #10 and #11 discharge summary incomplete, discussed death visit only. Missing summary of treatments, symptoms and pain management, current plan of care or latest physician orders.