Based on record review and interview, the agency failed to provide volunteer services in an amount that equals 5 percent of the total patient care hours of all paid hospice employees for 7/30/24-7/30-2025. This failure could place the Agency's Patients at risk of inadequate care by not ensuring that Agency’s volunteers are being adequately staffed for hospice patients. --- Findings included: During a record review of the agencies policies on 7/31/2025, no volunteer information had been found. Further record review revealed the agency’s census was is 6 patients with 4 unduplicated admissions from 7/30/2024-7/30/2025. Further record review revealed that the 6 patients were are being serviced with skilled hospice nursing services weekly. In an interview with the Administrator on 8/4/20254 at 1:00 p.m., the Administrator stated that the agency had no volunteer program that has been established and has not calculated cost savings. The Administrator also stated that volunteer hours must be utilized so that the agency’s patients have added support and efforts of active recruitment must be documented. Record review of the Agency’s policy titled, “Volunteers” dated 6/1/2008, revealed in part, “4. Agency will document and maintain a volunteer staff sufficient to provide administrative andand direct client care staff in an amount that at a minimum equal to 5.0% of the total patient.”
Every finding on record at Kdb Hospice LLC
Duncanville, Texas · CCN 741772
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of August 4, 2025
1 finding← Back to the Kdb Hospice LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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