Every finding on record at Hospice Care of Louisiana, LLC

It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 2 of 11 (18%) clinical records reviewed of patients receiving Hospice Aide (aide) services, the agency did not ensure that the aide received written patient care instructions prepared by the Registered Nurse (RN). Clinical Record 3: The patient elected hospice care on 05/20/2023. On 04/17/2024, the physician ordered wound care with a wound dressing for a wound on the patient's left elbow. The plan of care dated 03/12/2024 through 05/10/2024 ordered "Aide 3x per week." The aide care plan dated 04/18/2024 assigned the aide the relevant task of a "Shower at every visit." The aide care plan did not provide the aide with instructions addressing the left elbow wound dressing should the dressing become loose or wet during the shower. Clinical Record 9: The patient elected hospice care on 06/17/2024. On 11/27/2024, the physician ordered "Aide services 2x/week." The plans of care dated 06/17/2024 through 09/14/2024 and 09/15/2024 through 12/13/2024 documented, "Maintain seizure precautions." The aide care plan was not updated to include instructions for seizure precautions until 12/05/2024. On 12/06/2024, the Director of Clinical Services reviewed the records and confirmed that the aide care plans did not include wound dressing instructions or seizure precautions.