Every finding on record at Guardian Hospice Inc

Upon observation, there was no evidence that the patient has the right: • To exercise his or her rights as a patient of the hospice • Have one's property and person treated with respect • To not be subjected to discrimination or reprisal for exercising his or her rights Patient #1,2,3, LVN did not wear name badge during visit. Patients were not notified of visit with surveyor prior to arrival. Patient #1 and #2, refused home visit as they were not notified of the visit. Per son in law, nurse only comes on Fridays and family has instructed parents not to answer phone unless they know the number and he says they do not know any numbers. Family does not want them answering phone due to scams and fraud. Patient #3, upon arrival patient states " I did not know you were coming today" Nurse replies, " well, I am here"

Upon client record review, 4 of 14 (Patient #6,8,10,11) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #6, MSW frequency 1x/month, no visit completed in May. Patient #8, LVN frequency 1xweek, patient seen 4/10/23, 4/14/23. Patient #10, MSW frequency 1x/month, no visit completed in May. Patient #11, SC eval refused, no order to discontinue SC.

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 did not sanitize her hands every time she went in and out of her nursing bag.

Upon patient client record review, 4 of 14 (Patient #3,6,11,12) 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 #3, LVN visit notes on 5/26/23, 6/2/23, 6/9/23 has no signature. Patient #6, HHA visit notes on 5/29/23, 6/2/23, 6/5/23, 6/9/23, have no signature. Patient #11, LVN visit notes on 2/12/23, 2/19/23, 2/26/23, 3/5/23, 3/12/23, 3/18/23, 3/25/23, 4/1/23, 4/8/23, 4/15/23, 4/22/23, have no signature. LVN visit notes on 3/5/23 and 3/12/23, did not contain documentation that the assessment was completed. Patient #12, LVN visit notes on 3/5/23, 3/12/23, 3/19/23, 3/26/23, 4/2/23, 4/9/23, have no signature.