Every finding on record at Mesa View Hospice, LLC

Based on observations, interviews, and policy review, the facility failed to ensure staff used proper handwashing techniques during home visits for two of four patients (Patient (P)2 and P4) observed. This failure had the potential for an increase in infection and cross contamination for both patients. Findings include: --- On 01/22/2026 at 12:00 PM, during a home visit observation for P4, a Certified Nursing Assistant (CNA)1 cleansed their hands with soap and water at P4's bathroom sink, rinsed hands, then turned off the potentially contaminated faucet with cleansed hands. CNA1 mentioned there was no "tissue" and P4's care giver gave CNA1 a folded cloth towel that CNA1 dried their hands on. CNA1 proceeded to don gloves and began to fill a basin with soap and water to provide P4 with a bed bath. After observations of the bed bath were completed, CNA1 verified turning off the potentially contaminated faucet with cleansed hands. On 01/22/2026 at 10:30 AM, during a home visit observation for P2, Registered Nurse (RN)1 approached P2's kitchen sink, cleansed hands with soap and water, rinsed hands and turned off the potentially contaminated faucets with cleansed hands. RN1 proceeded to dry their hands on a paper towel and reached into their bag and pulled out a stethoscope. After completing the home visit, RN1 verified turning off the potentially contaminated faucets with cleansed hands. On 01/22/26 at 4:15 PM, the findings of the home visits were discussed with the Administrator. The Administrator stated, "That is not my policy" and mentioned that some "in-servicing" may be needed regarding hand hygiene.Review of the agency's undated policy titled, "HAND HYGIENE," revealed, "Wash hands thoroughly, using rigorous scrubbing action for at least 15 seconds … Rinse hands … Dry hands with clean paper towel. Turn off faucets with used paper towel and discard."