Every finding on record at New Convenant Hospice, LLC

Based on staff interviews, medical record reviews, and policy and procedure review, the facility failed to ensure Licensed Practical Nurse (LPN) supervisory visits were made by the Registered Nurse (RN) at least every 14 days to assess compliance with the plan of care and determine progress towards goals on two (2) of 12 medical records reviewed; Patient #1 and #12 --- Findings Include: An interview with Branch Administrator on 12/11/2024 at 1:30 p.m., confirmed the LPN #1 made visit on Patient #12 on 10/11/2024. RN #1 failed to perform LPN supervisory visit on 10/15/2024, 10/17/2024, 10/22/2024, or 10/24/2024. An interview with Branch Administrator on 12/11/2024 at 2:48 p.m., confirmed the LPN #1 made visits to Patient #1 on 04/18/2024, 04/22/2024, 04/30/2024 and 05/07/2024 with documented evidence of one (1) LPN supervisory visit made on 04/24/2024 for the month of April and May 2024. An interview with Branch Administrator on 12/12/2024 at 10:30 a.m., confirmed the RN failed to reassess patient/familys physical, psychosocial, and environmental needs for Patient #1 every 14 days. An interview with Branch Administrator on 12/11/2024 at 2:48 p.m., confirmed the LPN #1 made visits to Patient #1 on 04/18/2024, 04/22/2024, 04/30/2024 and 05/07/2024 with only documented evidence of one (1) LPN supervisory made on 4/24/2024 for the month of April and May 2024. Review of the medical record for Patient #1 revealed LPN #1 visits on 04/18/2024, 04/22/2024, 04/30/2024, 05/07/2024 and RN #1 made an LPN supervisory visit on 4/24/2024 and no further evidence of LPN supervisory visit made. Review of the medical record for Patient #12 revealed LPN visit on 10/11/2024, and RN visits on 10/15/2024, 10/17/2024, 10/22/2024, and 10/24/2024 with no evidence of documented LPN supervisory visits made. Review of the facility policy titled ";Licensed Practical Nurse/Licensed Vocational Nurse (LPN) Effective Date 10/01/06, Revision Date: 03/01/23, revealed ";...Procedure...The Registered Nurse will make LPN supervisory visits to the patients residence at least every 14 days to assess compliance with the plan of care and determine progress towards goals...". Review of the facility policy titled, ";RN Case Manager as Coordinator" Effective Date: 10/01/06, Revision Date: 03/01/23, revealed, ";...Procedure...RN must make an on-site visit to the patients home no less frequently than every 14 days...to ensure the services offered by the hospice interdisciplinary team meets the patients needs...RN must make LPN supervisory visits to the patients residence at least every 14 days to assess compliance with the plan of care and determine progress towards goals...". During the exit conference on 12/12/2024 at 1:30 p.m. with the Administrator, survey findings were discussed, and no further documentation was submitted for review.