Every finding on record at Hart Hospice

Observed in Record Review. In 1 of 6 patient records reviewed, the organization did not plan the patient's care by assuring the hospice plan of care included all services needed for the palliation and management of the terminal illness and related conditions. In RR#1, the current plan of care included the stated intervention of hospice aide visits twice a week to assist with the patient`s hygiene, personal care and to promote comfort per RN assignment. To-date, no aide services/visits had been provided or documented. The RN Manager confirmed aide services were planned at admission, but later refused. Although regular updates to the plan of plan were documented by the interdisciplinary team, this intervention had not been changed/updated. This was reviewed with the RN Manager and the Office Manager/MSW.

Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not implement its planned infection prevention and control activities to minimize/reduce the risk of infection. During HV#1, it was noted the skilled nurse placed care equipment (BP cuff/monitor, stethoscope, thermometer) on a barrier after use. Upon completion of the assessment, the skilled nurse rolled up the used/uncleaned equipment in the plastic barrier and placed the bundle in a compartment of the nursing bag. This practice was not consistent with the organization's Bag Technique Policy. This was review and confirmed with the RN Manager.