Every finding on record at Mission Hospice, Inc.

Observed in Record Review. In 3 of 3 patient records reviewed, where the interdisciplinary group had met more than twice, the organization did not update comprehensive assessments based on changes that had occurred since the initial assessment. The surveyor found that notes did not document on-going patient decline, new or revised goals, and updated plans for the next two weeks. This was discussed with an RN.

Observed in Record Review. In 5 of 5 patient records reviewed, the organization did not ensure that goals established in patients’ plans of care evaluated progress. In every record reviewed it was noted that most goals were generic, did not include measurements to indicate progress or decline, and had identified completion dates concurrent with the last day of the current benefit period. This was discussed with an RN.

Observed in Record Review. In 5 of 5 patient records reviewed, the organization did not provide care, treatment, or services to patients. In every record the Social Worker and Spiritual Coordinator both documented that initial comprehensive assessments were conducted by phone. As well, the Social Worker documented the same for comprehensive re-assessments. This was reviewed with an RN.

Observed in Patient Home. In 2 of 3 home visits conducted, the organization did not implement the infection prevention and control activities it had planned. At HV#2 and HV#3 the surveyor observed an LVN placing her visit bag directly on upholstered chairs. According to the Bag Technique policy 9-014 visit bags are to be placed on surfaces that can be easily disinfected. This was discussed with an RN.