Every finding on record at Jasmine Hospice, Inc.

Upon patient record review, X of X (Patient #) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Patient #8 11/10/22 order received for Zofran 8 mg, 1 tab SL q8 hrs as needed for nausea. There was no evidence of specific education regarding medication.

Upon client record review, 2 of 11 (Patient #2, 3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2 SC frequency (...evaluation...) 1x/month for Plans of care (all 3 benefit periods). No evidence of visits made in July, August, and October. Patient #3 SC frequency 1x/month for Plans of care (all 3 benefit periods). No evidence of SC visits for the months of June, August, and September.

Upon personnel record review, 1 of 15 (Personnel #6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel # 6: The competency form utilized by the agency lists "shampoo" for skills validation. Therefore, competency of sink, tub, bed type shampoos cannot be confirmed.

Upon personnel record review, 1 of 15 (Personnel #1) did not have evidence that the administrator possesses the education and experience required by the governing body. Personnel #1: The Administrator Job Description qualifications require "3-5 years of experience in health care management". The application and resume on file do not demonstrate that this requirement is met, as the resume and application information are not specific to management.