Every finding on record at Hospice of Hope

Observed in Patient Home. In 1 of 3 home visits conducted, the organization failed to show use of a secure text message platform installed on the mobile device to protect the patient's health information. For example, in RRHV #1, the Certified Home Health Aide (CHHA) when asked by the Surveyor a question regarding accessing the aide plan of care, showed the Surveyor on a personal mobile device the aide plan of care that had been texted to the CHHA's personal cell phone the day of the survey. The residential facility owner also attested to the Surveyor, the CHHA and other staff text information to the facility's personal cell phone regarding the patient. This was validated with the Alternate Administrator and reviewed with the Alternate Administrator and the Administrator.

Observed in Record Review. In 1 of 5 patient records reviewed, the organization failed to establish individualized target dates based on the patient's needs. All of the Nursing goals for every problem identified were expected to be reached within 10-14 days. In addition, although the calendar indicated a target date of the 14th date, it was unclear whether the goal needed to be achieved specifically on that day or at any point between the 10th and the 14th day. For example, in RRDC #2 ADL: goal: patient will meet all ADL needs within 10-14 days after a constant assistance from caregiver; target date: 4/18/25, family/CG will verbalize or demonstrate understanding and compliance with teachings related equipment safety and patient will remain safe at home free from injury within 10 to 14 days target date: 4/18/2025, GI: goal: In 10-14 days, patient's constipation will be managed effectively with current medication as evidenced by increased comfort and regular bowel movement of once in every 1-2 days. target date: 4/18/2025, Neurological/Mental: goal: patient will participate in a structured routine that includes familiar objects and consistent caregiving to promote a sense of stability and recognition within 10 to 14 days target date: 4/18/2025, Nutrition: goal: in 10 to 14 days, patient will have adequate food and fluids as tolerated or desired and be able to eat 2-3 full meals per day with snacks between meals and no incidence of aspiration. target date: 4/18/25, and Sleep: goal: in 10 to 14 days, patients neurological status will improve as evidenced by adequate sleep of 7-8 hours at night. target date: 4/18/2025. This was validated and reviewed with the Administrator and the Alternate Administrator.

Observed in Record Review. In 5 of 5 patient records reviewed, the organization failed to establish an end duration for each discipline's visits. For example, in RRDC #1 the frequencies are as follows: SN 1 per week. In RRDC #2, the frequencies of visits are as follows: LVN 1 per week. In RRHV #1, the Certified Home Health Aide frequencies were 2 per week, in RRHV #2 and #3 the LVN 1 per week with no end durations. This was validated and reviewed with the Alternate Administrator.

Observed in Patient Home. In 1 of 3 home visits conducted, the organization failed to maintain the patient's privacy. For example, in RRHV #2 the Skilled Nurse (SN) greeted the patient in the living room area of the residential facility in which another resident was present during assessment of the patient. The SN asked questions regarding pain and lifted the patient's clothes for a skin assessment in the living room area. This was validated with the Alternate Administrator and reviewed with the Administrator and the Alternate Administrator.