Every finding on record at Hospicio El Nuevo Amanecer

Based on observation and facility policy review it was determined that the facility failed to follow accepted standard practices to prevent the transmission of infections. --- Findings Include: The facility policy named “USO DE DESIFECTANTES DE MANO CON BASE DE ALCOHOL (HAND SANITIZER)” reviewed on 10/21/2025 at 3:26PM with the regional supervisor (employee #3), states that employee must use hand sanitizer before and after putting on gloves. 1.HV #2 is an 83-years-old male admitted on 03/19/2025 with a diagnosis of Parkinson disease. The patient was visit on 10/20/2025 at 1:10PM until 1:45PM accompanied with a facility registered nurse (employee #2). During the visit it was observed that the patient was alert but not conscious, bedridden and totally dependent of activities of daily living. a)      It was observed that the employee #2 did not employed hand hygiene between changes of gloves. Failed 1 of 3 opportunities to hand hygiene.

Based on credential files review (C.F.) and interview with regional supervisor (employee # 3) on 10/21/2025 at 3:00 PM, it was determined that the facility failed to ensure core service are provide directly by hospice employee with counseling services which makes this Condition Not Met. --- Findings Include: 1.      Spiritual Counselor credential file was reviewed on 10/21/2025 at 1:41 PM and it was observed a contracted service of the Hospice since February 2025.2.      On an interview with employee #3 on 10/21/2025 at 3:00PM he stated that the spiritual counseling staff was under contracted services.

Based on  the review of documents related to the volunteer program and interview with the secretary (employee #4), it was determined that the facility failed to maintain a documented record of the volunteer staff who provide administrative or direct patient care with the description of duties and worked hours. --- Findings include:1. During the interview and review of volunteer program with the secretary (employee #4) on 10/22/2025 at 9:30AM it was evidenced that the agency did not have documented evidence to prove that the volunteer personnel have been working providing administrative or direct patient care.

Based on  the review of eight (8) credential files (C.F) with the Hospice Secretary (employee #4) performed on 10/21/2025 at 11:AM till 1:10 PM, it was determined that he facility failed to ensure that 4 of 21 employees who provide services have updated credential files related to Speech Language Pathology (SLP), Occupational Therapist (OT), Home maker (ALL) and Spiritual Counselor (SC) related to lack of Hepatitis B Vaccine, Influenza Vaccine and COVID 19 Vaccine. --- Findings include: 1. One (1) of eight (8) credential files (C.F.) did not contain evidence of updated Hepatitis B Vaccine, Occupational Therapist (OT).2. Two (2) of eight (8) credential files did not contain evidence of Influenza Vaccine, Speech Language Pathology (SLP) and Occupational Therapist (OT).3. Two (2) of eight (8) credential files did not contain evidence of COVID 19 Vaccine, Home maker (ALL) and Spiritual Counselor (SC).

Based on the review of eight (8) personnel credential files (C.F.)  with the Hospice Secretary (employee #4) performed on 10/21/2025 at 11:AM till 1:10 PM, it was determined that the facility failed to ensure that 6 out of 8 employees record reviewed providing services have the criminal background check. --- Findings include: During the credentials file review of the Spiritual Counselor (SC), Medical Director (MD), Licenses Practical Nurse (LPN), Speech Language Pathology (SLP), Occupational Therapist (OT) and home maker (ALL), performed on 10/21/2025 at 11:AM till 1:10 PM with employee #4, no evidence was provided of the certified negative criminal background check (Ley 300).

Based an unannounced recertification survey, observations during the tour at the medical surgical material room on 12/15/2022 at 2:15 PM it was determined that the facility failed to ensure that medical surgical material room are organize under proper safety conditions. --- Findings include: 1.During the observation on 12/14/2022 at 2:15PM in the medical equipment storage area, the following was observed: a) Unprotected feeding machine. b) Six material boxes placed on the floor. c) Moisture on the ceiling and walls. d) Broken boxes in medical equipment. e) Loose electrical wires.