Every finding on record at Hospice of West Alabama, Inc.

Observed in Individual Tracer. The surveyor observed that patient receiving wound care weekly did not have wound measured weekly as required by HCO policy.  The surveyor confirmed with organization leadership that multiple weeks had no evidence of documented wound measurements.

Observed in Individual Tracer. The nurse did not follow the organization's bag technique policy.  The nursing bag remained open and on the patient's floor without a barrier throughout the visit.  The organization's policy included that the bag should not be placed on the patient's floor and should be closed during the visit when not being accessed. The nursing bag being used was small without anyway to close one wide open small bag clean and had holes in the plastic bag (holes by design) open to potential insects. The patient informed SN that his SO had been outside the home spraying for fleas she stated were everywhere in yard.

Observed in HR File Review. The surveyor observed that home health aides had no documentation in 2022 or 2023 of competence as required by organization policy. This was discussed and confirmed with leadership.

Observed in Individual Tracer. The surveyor observed that the patient was on continuous oxygen and the aide care plan did not address whether the oxygen could be removed for the shower. During home visit the surveyor had observed that the CHHA removed the oxygen and assessed patient to upstairs area for shower. This issue was discussed and confirmed with hospice leadership.