Every finding on record at Good Grace Hospice Care, Inc

Upon client record review, 8 of 11 (Patients #2,3,5,6,8,9,10,11) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2 SN frequency ordered as 1x/week. RN sup visit only on 8/19/22. No evidence of visit on 8/19/22 or that week. Patient #3 SN frequency ordered as 1x/week. RN sup visit only on 8/19/22. No evidence of visit on 8/19/22 or that week. Patient #5 SN frequency ordered as 1x/week. LVN visits on 9/8/22, 9/22/22, and 10/6/22. RN sup visits with complete assessment on 9/10/22, 9/24/22, 10/8/22, no evidence of an order for these RN visits. Patient #6 SN frequency ordered as 2x/week. No evidence of a visit week of 10/3/22. Patient #8 SN frequency ordered as 1x/week. LVN visits on 9/19/22 and 9/23/22. Patient #9 SN frequency ordered as 1x/week. RN sup visit with assessment completed on 5/24/22 and 5/27/22. Patient #10 SN frequency ordered as 1x/week. RN made visit on 1/11/22 and RN sup visit with full assessment on 1/13/22. Patient #11 SN frequency ordered as 1x/week. RN visit with assessment completed on 6/12/22, 6/15/22, 6/26/22, 6/30/22.

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. Patients #1, 2 and 3 RN did not sanitize hands each time the RN entered her nursing bag. RN did not wash her hands properly prior to going in and out of nursing bag.