Based on record review and interview, the agency failed to document and provide evidence of cost savings achieved by the use of volunteers, in that There was no documented estimated money saved in 2020, 2021 or 2022. This failure placed the agency's patients at risk of incurring a cost for services received and may impede the agency's improvement of the quality of care to be provided. Findings included: Record review of Agency Volunteer binder on 09/21/2022 revealed blank Volunteer assignment and activity record and volunteer hours worksheet. In an interview on 09/21/2022 at 2:40 p.m., the Alt. Admin. presented blank volunteer hours/cost savings calculation form and stated that he performed a volunteer's role but did not document what he did and there was no cost saving calculated. Admin stated he performed volunteer's role by checking on the patients and delivering supplies. The Surveyor ask for the impact of not cost saving calculated on volunteer services, patient/family. The ADON stated that it did not prove that the agency and patient saved money using volunteer services or that the actual patient/family needs for volunteer services might not be adequately evaluated. Review of the agency's written policy on titled "Volunteers" dated 090115, read in part, "6. The Agency will document and maintain a volunteer staff sufficient to provide administrative and direct client care staff in an amount that at a minimum, equals to 5.0 % of the total patient care hours of all paid hospice employees and contract staff. 7. The Agency will document the following ... " Hours and cost savings. " Estimated cost savings to the agency to be reported annually. " Viable and ongoing efforts to recruit and retain Volunteer."
Every finding on record at Merciful Hands LLC
Houston, Texas · CCN 971515
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of September 21, 2022
1 finding← Back to the Merciful Hands LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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