Every finding on record at Lhcg Cix, LLC

Based on record review, and interviews, the hospice provider failed to ensure 1 (#1) of 3 (#1, #2, #3) sampled patients received care and services in a timely manner, when assessed and reported to have symptoms of a urinary tract infection. --- Review of the providers Patient Reassessments Policy with a last revision date of 07/01/2012 revealed the following: 2. The nurse or other disciplines, as appropriate and within their scope of practice will complete an assessment of the patient on each visit according to the patient POC. This assessment may include: c. Secondary symptoms to terminal illness f. elimination, urinary and bowel l. Current treatment related to the identified symptoms and the patients response 4. Reassessments should focus on: b. Changes in patient condition 7. Based upon the reassessments, the plan of care- including problems, needs, goals, and outcomes-will be reviewed and revised accordingly by the hospice in collaboration with all hospice interdisciplinary group members responsible for the patients care. During an interview on 10/24/2023 at 9:00 a.m. patient #1s daughter reported patient #1 was admitted to the hospice on 09/19/2023. Patient #1s daughter reported to the hospice staff she suspected Patient #1 had a urinary tract infection. Patient #1s daughter further reported she told the hospice staff Patient #1 had frequent urination with dark urine and she recently had fever. Patient #1s daughter reported the hospice provider did not do anything about the symptoms for a week to10 days after patient #1 was admitted to the hospice. Review of patient #1s face to face encounter note by S3 NP (Nurse Practitioner) dated 09/18/2023 revealed the following: ...She currently complains of frequent urination and her daughter is concerned that she may have a urinary tract infection. The patient has been experiencing agitation consistent with sun downing. Review of patient #1s coordination notes revealed the following entries: 09/27/2023- On 09/25/2023, received a call from the daughter. She was upset that patient did not have any fentanyl patches or antibiotics. 09/29/2023 5:24 a.m. -Triage Coordination Note: Caller reports patient antibiotics were to arrive and have not. Caller is angry and verbally aggressive. During an interview on 10/24/2023 at 3:30 p.m. S3 NP confirmed having a face to face visit with patient #1 on 09/18/2023. S3 NP also confirmed patient #1 complained of frequent urination and patient #1s daughter was concerned patient #1 might have a urinary tract infection. S3 NP further confirmed failing to order a urinalysis, antibiotics and educate patient #1 and patient #1s daughter on what to do if symptoms of urinary tract infection persists. During a phone interview on 10/24/2023 at 2:30 p.m. S4 RN (Registered Nurse) reported on 09/28/2023 patient #1 complained of burning upon urination, frequent urination, and urine with a foul odor. S4 RN further reported notifying patient #1s physician and receiving an order for an antibiotic. S4 RN confirmed patient #1 began antibiotics on 09/29/2023 several days after initial report of patient #1s symptoms of urinary tract infection. During an interview on 10/25/2023 at 2:00 p.m. S1 ED (Executive Director) confirmed patient #1s assessment of symptoms of urinary tract infection should have been addressed and treated in a timely manner.