Every finding on record at Katy Hospice, LLC

It is required that hospice aides must report changes in the patient’s medical, nursing, rehabilitative, and/or social needs to a registered nurse as the changes relate to the plan of care and any quality assessment and improvement activities. The hospice aide must also complete appropriate records of service, including the report of changes in the patient’s needs. Hospice aide documentation complies with hospice policies and procedures. This standard was not met as evidenced by review of clinical records and interview with the Administrator which revealed 1 of 11 (9%) records with hospice aide services revealed that the aide did not provide care according to assigned tasks on the plans of care. Record #16638: The aide care plans dated 1/25/22, 1/27/22, 1/18/22 and 1/20/22 assigned the aide to "put to bed" the patient every visit. There was no documentation that the "put to bed" task was completed these aide visits dates; no evidence of communication to RN of change in care plan was present during these visits. Record#16638: The aide care plans dated 1/11/22 and 1/13/122 assigned the aide to "reposition" patient every visit. There was no documentation that the "reposition" task was completed during these aide visit dates; no evidence of communication to RN of change in care plan was present during these visits.