Every finding on record at Luminis Health Gilchrist Lifecare Institute, LLC.

It is required that hospice aides must report changes in the patient’s nursing needs to a registered nurse as the changes relate to the plan of care. The aide must complete appropriate records of service, including the report of changes in patient’s need to the registered nurse. This standard was not met as evidenced by clinical record review, document review, and interview. In 2 of 19 (11%) clinical records reviewed of patients receiving Hospice Aide (HA) services, the agency did not ensure that the Hospice Aide reported changes in the patient's needs to the Registered Nurse (RN). DOCUMENT 1: Policy # 2-437 revised 04/17/2024, titled "Orientation of Hospice Personnel to Assigned Responsibilities stated in part." the hospice aide will report the problem/change to the RN case manager and /or Clinical Team. CLINICAL RECORD 10: The patient elected the hospice benefit on 10/28/2024 and resides in an assisted living facility (ALF). The aide care plan dated 10/28/2024 assigned the HHA the tasks: complete bed bath, change linen, perform mouth care, apply barrier cream and lotion every visit. The hospice aide visit notes dated 11/04/2024 and 11/7/2024 documented that the facility staff completed care. There was no documented evidence that the aide reported to the registered nurse (RN) tasks not completed by the hospice aide. CLINICAL RECORD 12: The patient elected the hospice benefit on 09/12/2024. The aide care plan dated 09/15/2024 assigned the hospice aide the task: shampoo and assist with personal care every visit. The hospice aide visit note dated 09/17//2024 documented that the patient refused shampoo. There was no documented evidence that the RN was notified that the patient refused the shampoo. During a joint record review and interview on 02/26/2025, the Clinical Education Manager confirmed the findings. No further information was provided.