Every finding on record at K & Var Management Inc

Observed in Individual Tracer. In 2 of 3 home visits conducted, During 2 of 3 home visits, the surveyor noted that the organization did not follow Hand Hygiene Policy 9-009.1. For example, in HV 1 the aide bathed the patient with one washcloth, including the peri area and used the same washcloth to re soap the patient again. In addition, there was no glove change after completing the peri area. In HV 2, the LVN did not gel her hands after glove removal. In addition, Bag Technique Policy 9-014.1 was not followed in that the nurse took the vital signs and then removed additional items from her bag without performing hand hygiene. This was validated in a discussion with and observation by the DPCS.

Observed in Individual Tracer. During 1 of 1 home visits (HV1) the surveyor noted that the aide did not follow the plan of care. For example, In HV 1 the plan of care indicated the patient would receive a bed bathe and the aide performed a shower. This was validated in a discussion with and observation by the DPCS.

Observed in Document Review. During the Volunteer Program discussion,, the surveyor noted that the organization did not document the recruitment efforts to obtain new volunteers. The recruitment book for 2022 only ha a letter sent to a church in March and September of 2022. No documentation was present for 2023. This was validated in a discussion with and observation by the DPCS.

Observed in Record Review. In 2 of 2 patient records reviewed, the organization failed to plan the patient's care. In HV#1 and RR#1 each goal on plan of care was expected to be achieved on the last day or the certification period or during cert period for all disciplines. These goals were not measurable. This was discussed and reviewed with the Administrator.