Every finding on record at Heart of America Hospice

Based on record review, policy review, and staff interview, the Hospice failed to ensure a registered nurse (RN) completed an on-site supervisory visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide for 2 of 3 sampled patients (Patient #1 and #7) receiving hospice aide services. Failure to perform the supervisory visit limited the Hospices' ability to ensure hospice aide services met the patients' needs. --- Findings include:Review of the facility policy titled "Nursing Service" occurred on 08/13/25. This undated policy, stated, ". . . A registered nurse does a supervisory evaluation of the certified nurse assistant (CNA) every two weeks. . . .”- Review of Patient #1's medial record occurred on August 11 – 13, 2025. The patient's plan of care for the certification period from 02/19/25 – 05/19/25 showed the aide visits started on 02/24/25 and occurred as scheduled. The RN performed on-site supervisory visits as follows:* On 03/11/25, a 15-day interval from the start of aide visits.* On 03/25/25 and next on 04/10/25, a 16-day interval. - Review of Patient #7's medial record occurred on August 11 – 13, 2025. The patient's plan of care for the certification period from 06/16/25 – 08/14/25 showed the aide visits occurred as scheduled. Patient#7's record lacked evidence an RN performed on-site supervisory visits between 06/24/25 and 07/28/25, a span of 34 days.During an interview on the morning of 08/13/25, an administrative nurse (#1) confirmed the RN failed to complete aide supervisory visits for Patients #1 and #7 as required.