Every finding on record at Holly Angels of La Hospice Care, Inc.

Observed in Competency Session. The organization did not provide interdisciplinary, collaborative care, treatment, or services by establishing an interdisciplinary group that included a social worker. In review of HR#4, it was noted the social worker who participated in the interdisciplinary group (IDG) had a masters degree in psychology. It was confirmed that the supervising medical social worker did not participate as a member of the IDG. This was reviewed and verified with the Administrator.

Observed in Record Review. In 1 of 8 patient records reviewed, the organization did not plan the patient's care by ensuring the registered nurse, a member of the interdisciplinary group and responsible for hospice aide supervision, prepared complete written patient care instructions for the hospice aide. In RRNHV#1, the patient's plan of care indicated contact precautions and treatment had been implemented related to suspected Scabies. The aide assignment/care plan did not include the contact precautions. This was reviewed and verified with the Administrator.

Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not provide patient education, training, and coordination based on each patient's/caregiver's needs and abilities, including information on the storage, handling, and access to medical gases and supplies. This included identifying risks associated with home oxygen therapy and performing/documenting assessment of the patient's and/or caregiver's comprehension of risks and compliance with education, training, and recommended interventions during home visits. In RRHV#3, when asked by the surveyor, the hospice RN indicated the oxygen E-tank was being stored in a small closed closet in the patient's room at the Assisted Living Facility. This was reveiwed and verified with the RN/Administrator.