Every finding on record at Life Springs Hospice Care

Observed in Tracer Activities. In 7 of 14 patient records reviewed, the surveyor observed that the hospice patient had three different PRN meds ordered for pain, but none of the orders nor policy specified which med to use first. For example the patient had Tylenol , oxycodone and morphine PRN pain. The issue was discussed and confirmed with organization leadership.

Observed in Patient Home. In 2 of 4 home visits conducted, the surveyor observed the CHHA on home visit 1 had not completed hand hygiene after every glove change as required by organization policy. In addition on home visit 2 the SN providing wound care and patient hygiene had not cleaned hands after each glove change to include following foley catheter care and cleaning bowel movement. In addition the surveyor observed the SN providing wound care apply medi honey to two separate wounds using same Q-tip . This was discussed and confirmed with organization DPCS.