Every finding on record at Magnolia Hospice LLC

Based on observation during home visits with a nurse, staff interviews and policy/procedure review, the facility failed to follow accepted standard precautions to prevent the transmission of infections and communicable diseases during four (4) of four (4) observed home visits with patients; Patient #13, #14, #16, #21. --- Findings include: Observation at residence of Patient #21, at 10:48 a.m. on 05/15/2024, Registered Nurse (RN) #1 failed to hand sanitize prior to start of care and failed to utilize a nursing bag that has a wipeable surface. Observation at residence of Patient #13, at 11:04 a.m. on 05/15/2024, RN #1 failed to hand sanitize prior to start of care and failed to utilize a nursing bag that has a wipeable surface. Observation at residence of Patient #16, at 11:33 a.m. on 05/15/2024, RN #1 failed to hand sanitize prior to start of care and failed to use a nursing bag that has a wipeable surface. Observation at residence of Patient #14, at 12:11 p.m. 05/15/2024, RN #1 failed to hand sanitize prior to start of care and failed to use a nursing bag that has a wipeable surface. Interview with RN #1 on 05/15/2024 at 11:34 a.m. confirmed the use of assigned nursing bag was not being used according to policy/procedure and she further confirmed the facility does provide alcohol-based hand rub. Interview with Director of Nursing (DON) on 05/16/2024 at 12:57 p.m. confirmed the facility follows Center for Disease Control (CDC) guidelines for infection control. Review of the facilitys policy, Bag Technique, policy number 9-014.1, no date or revision date, confirmed ";...maintaining a clean nursing bag to prevent cross contamination...maximize the use of the nursing bag when caring for patients...nurse will have the following contents...Hand washing equipment...assessment equipment...bag will be cleaned...Prior to administering care, alcohol based hand rub...and hands will be washed...Hands will be decontaminated...". Review of the facilitys policy, Infection Control Hand Hygiene, policy number PC. 125, no date, or revision date, confirmed ";...staff must perform hand hygiene...hand hygiene supplies are...routine supply inventory...use standard precautions...Hand hygiene before and after patient contact...". During the exit conference on 05/16/2024 at 2:30 p.m. with the Executive Director and Director of Nursing, the survey findings were discussed, and no further documents submitted for review.