Every finding on record at Juno Healthcare, Inc.

Observed in Record Review. In 5 of 14 patient records reviewed, During RR#3-#7 it was noted lack of summaries at the IDG in August 2024 by the MSW and SC of the care provided to the patients during their initial visits. This was discussed with the organization leadership.

Observed in Record Review. In 2 of 14 patient records reviewed, During HV#3 record review it was noted the patient was prescribed Pradaxa PO daily. The POC lacked instruction on S/S bleeding and bleeding precautions. During RR#1 it was noted the patient was prescribed Eliquis PO daily. The POC lacked instruction on S/S bleeding and bleeding precautions. This was discussed with the organization leadership. Observed in Record Review. In 2 of 14 patient records reviewed, During RR#2 it was noted an incomplete order that stated G-tube site care daily. During RR#6 it was noted lack of instruction on the POC for port-a cath care and instruction. This was discussed with the organization leadership.

Observed in Patient Home. In 1 of 3 home visits conducted, During HV#3 it was noted the SN did not change her gloves, disinfect her hands and don a clean pair of gloves after removing the dressing before performing wound care to the 4th toe left foot amputation site.

Observed in HR File Review. In 1 of 10 HR files reviewed, It was noted HR#10 lacked orientation on infection control education. This was discussed with the organization leaders.

Observed in HR File Review. In 1 of 10 HR files reviewed, It was noted in HR#10 lack of orientation on hospice philosophy. This was discussed with the organization leaders.

Observed in Document Review. In 1 of 4 contracts reviewed, During contract review it was noted the therapy contract for PT, OT, ST and RD contained the stipulation of obtaining criminal background for licensed professional staff however it lacked the stipulation that other employees who have access to patient records have a criminal background check performed. This was discussed with the organization leadership.