Every finding on record at Hospicio Divino Salvador, Inc

Based on observations made during four home visits (HV) on October 15, 2025, it was determined that the facility failed to ensure patient privacy during the bed bath procedure. --- Findings include:During HV #1 on 10/15/2025 at 10:28 AM, it was observed that the Licensed Practical Nurse (LPN) (employee #4) did not provide privacy for the patient's legs during bed bathing procedures.

Based on observations made regarding the care provided during four home visits (HV) on 10/15/2025, it was determined that the facility fail to ensure comply with infection control standards during the ulcer care process. --- Findings include:During home visit #2 on 10/15/2025 at 11:23 AM with the Assessing Nurse (employee #2), it was observed that the Registered Nurse (employee #3), after changing gloves 10 times, did not use hand sanitizer or wash her hands while providing ulcer care.       The registered nurse (employee #3) was observed providing care for an ulcer while wearing gel nails. According to center policy, nursing staff are not permitted to wear acrylic nails.       2. During home visits (HV) #1 and #2, dust was observed on the windows of the oxygen concentrators.

Based on  the review of twenty (20) credential files (C.F) with the Billing Officer (employee #1) and Services Director (employee #7) performed on 10/16/2025 at 11:15 AM till 2:45 PM, it was determined that the facility failed to ensure that 6 of 20 employees who provide services have updated credential files related to Physician (P.C.F #1), Registered Nurses (N.C.F #1, #3 and #4) and Licensed Practical Nurses (N.C.F #5 and #6) related to certification of Cardiopulmonary Resuscitation (CPR). --- Findings include: 1. During the physician and nurses credential files review performed on 10/16/2025 from 11:15 AM to 1:30 PM, the following were found:  a) Six out of twenty credential files failed to show updated evidence of in person Cardiopulmonary Resuscitation (CPR) accredited by the American Heart Association, the evidence provided was online CPR (P.C.F #1), Registered Nurses (N.C.F #1, #3 and #4) and Licensed Practical Nurses (N.C.F #5 and #6).