Deficiency Index

Every finding on record at Hospice of Southern West Virginia, Inc.

Beckley, West Virginia · CCN 511506

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of February 8, 2024

1 finding
L0629

Based on document review and staff interview, the facility failed to complete every fourteen (14) days to assessments for the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patients needs. This affected three (3) out of six (6) patients. The failure to complete the fourteen (14) days assessments by a Registered Nurse (RN) could have an adverse effect to all patients. A review of the document, titled ";Registered Nurses Home Visits" from 1/6/23 through 2/2/24 for Patient #3 revealed Patient #3 did not receive the fourteen (14) day home visits from a RN for the time period of 11/28/23 through 12/15/23. The RN visit took place on the seventeen (17) day. A review of the document, titled ";Registered Nurses Home Visits" from 4/19/23 through 2/2/24 for Patient #4 revealed Patient #4 did not receive the fourteen (14) day home visits from a RN for the time period of 7/24/23 through 8/8/23. The RN visit took place on the fifteen (15) day. A review of the document, titled ";Registered Nurses Home Visits" from 1/26/23 through 2/1/24 for Patient #7 revealed Patient #7 did not receive the fourteen (14) day home visits from a RN for the time period of 10/26/23 through 10/26/23. The RN visit took place on the twenty (20) day. An interview was conducted with Staff #1 on 02/07/23, at 3:00. p.m. regarding Patient #3, #4. #7 fourteen (14) day RN assessment. Staff #1 stated, ";Concurred these patients did not have the fourteen (14) day assessment completed in the fourteen (14) daytime frame.

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Federal survey findings only. State licensure findings for hospices are not shown.

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