Every finding on record at Medi Home Health and Hospice - Chesapeake

Based on interview, document review, and policy review, the hospice agency failed to have volunteer hours that equaled five percent of total patient care hours. This had the potential to cause 146 of 146 active patients to have unmet needs. --- Findings include:Review of the “Hospice Volunteer Analysis” report, provided by the facility, dated from 07/01/24 to 06/30/25, revealed the report documented the "Volunteer Time Percentage" at 0.5%.During an interview on 07/17/25 at 1:10 PM, the Volunteer Coordinator (VC) confirmed the volunteer time percentage was below the required 5%. The VC stated the agency was active with recruiting events and currently had five active volunteers, but the number of hours each volunteer contributed was minimal.During an interview on 07/18/25 at 1:30 PM, the Administrator confirmed the volunteer percentage time was below the required 5%. The Administrator also stated active recruiting and retention efforts were in place.Review of the policy titled, “Volunteer Services," dated September 2024, revealed, ". . . Annual compilation of the Volunteer Coordinator monthly data shows volunteer services meets or exceeds five percent (5%) of the total patient care hours of all hospice employees and contract staff . . ."