Every finding on record at New Horizon Hospice Inc Dba Global Hospice Arizona

Observed in Record Review. In 2 of 5 patient records reviewed, for bereavement, the organization failed to ensure a post death bereavement risk assessment was conducted as required by policy. On review of RRBR#3 and RRBR#4 the was no documentation noted in the record of a post death bereavement risk assessment as required. This observation was reviewed with the DPCS Designee and Administrator Designee.

Observed in Record Review. In 2 of 5 active patient records, the organization failed to ensure the plan of care include all services needed for the palliation and management of the terminal illness and related conditions. On review of RRHV#1 the patient had a foley catheter yet there was no care plan established to guide its care. In RRHV#3 the documentation noted the patient was at a high risk for falls yet there was no fall safety care plan to address the issue. The documentation noted the patient with dysphagia and a risk for aspiration yet there was no care plan to guide the care related to aspiration risk. These observations were reviewed with the DPCS and DPCS Designee.

Observed in Record Review. In 2 of 5 patient records reviewed, the organization failed to ensure the plan of care include drugs and treatments needed for the palliation and management of the terminal illness and related conditions. On review of RRHV#3 the patient had bowel regimen medications of Senna plus, Dulcolax suppository, and MiraLAX that were discontinued from the plan of care and medication profile however per conversation with the DPCS Designee the medications remained in the home for PRN use. In RRNHV#4 the order for sacral dressing was incomplete as it stated provide sacral dressing (7/week) it did not specify the type of dressing, frequency, or who was to provide the care. In RRHV#1 the patient had a foley catheter yet there were no current physicians noted on the record for the catheter. These observations were reviewed with the DPCS Designee.

Observed in Record Review. In 1 of 1 active records reviewed, the organization failed to ensure that all disciplines that provide care, treatment or services to the patient collaborate in the care of the patient. On review of RRNHV#5 there was a missed Hospice Aide visit in January, May, and June yet there was no documentation that the IDG was informed of the missed visits. This observation was reviewed with the DPCS Designee and Administrator Designee.

Observed in Record Review. In 2 of 5 patient records reviewed, for bereavement, the organization failed to ensure that a bereavement plan of care that specified the type of bereavement services to be offered and the frequency of service delivery was established. In review of RRBR#3, and RRBR#4 there was no bereavement plan of care noted on the patient record. This observation was reviewed with the DPCS Designee and the Administrator Designee.

Observed in Record Review. In 3 of 5 bereavement records reviewed, the organization failed to ensure the patient records contain all information to reflect the care treatment and services provided. On review of RRBR#2, RRBR#3, and RRBR#4 there was no documentation that the needs of the bereaved was discussed with the IDG after the patient death. This observation was reviewed with the DPCS Designee and the Administrator Designee. Observed in Record Review. In 1 of 5 active patient records, the organization failed to ensure the patient record contain all information to reflect the patient's care treatment and services. On review of RRNHV#5 there was a care plan and physicians order for antibiotics for a UTI yet there was no documentation to specify what led up to the need for treatment such as signs and symptoms the patient was experiencing. The clinical documentation for that day noted history of TIA and elevated blood pressure. This observation was reviewed with the DPCS Designee.

Observed in Record Review. In 2 of 2 Live discharge records, the organization failed to ensure when the patient revoked the election of hospice care or is discharged from hospice care the patient's attending physician was provided with a copy of the hospice discharge summary as there was no documentation of discharge summary provided for RRDC#1 and RRDC#2. This observation was reviewed with the DPCS Designee and DPCS.

Observed in Competency Session. In 1 of 4 contracts reviewed, the organization failed to ensure the written agreement with an outside agency providing contracted services for the hospice included all required elements. On review of the contract for Therapy services there was no stipulation that the outside agency will complete criminal background checks on contracted employees who provide direct patient care or have access to patient records. This observation was reviewed with the Administrator Designee.