Every finding on record at Perpetual Help Hospice of Nevada LLC

Observed in Individual Tracer. In 6 of 11 patient records reviewed, it was noted that the organization did not ensure that goals for care were patient specific and measurable. For example, during a review of the medical record for HV#1, the following plan of care goals were noted: “The patient’s ADL needs are met at an optimal level” and “The patient will maintain optimal mobility and independence”. The goals were not patient specific and measurable. The Competence Assessment Process session included the review of the employee's Human Resource file, Health record, and Competency evaluation. Example #2: The organization did not ensure the plan of care specified the care and services necessary to meet the needs identified in the comprehensive assessment. For example, during a review of the medical record for RR#3, it was noted that comprehensive assessment identified symptoms and needs that required palliation and management in the following system areas: Cardiovascular, Neurological/Mental, Pain, and Respiratory. The plan of care did not include interventions and measurable outcomes related to the identified needs for care. Example #3: During a review of the medical record for RR#4, it was noted that the comprehensive assessment identified symptoms and needs that required palliation and management in the following system areas: Neurological/Mental, Environmental Safety, and Pain. The plan of care did not include interventions and measurable outcomes related to the identified needs for care. Example #4: During a review of the medical record for RR#5, and RR#6, it was noted that the patient’s primary diagnosis was Hypertensive heart disease with heart failure. The plan of care did not include interventions and measurable outcomes to address the palliation and management of the Cardiovascular system. Example #5: During a review of the medical record for RR#7, it was noted that comprehensive assessment identified symptoms and needs that required palliation and management in the following system areas: Cardiovascular, Neurological/Mental, Environmental/Safety and Respiratory. The plan of care did not include interventions and measurable outcomes related to the identified needs for care. This observation was reviewed with the Director of Nursing and the Administrator.

Observed in Data Session. The organization did not have written infection prevention and control goals that included limiting the spread of infections associated with the use of medical equipment, devices, and supplies. This observation was reviewed with the Administrator. Observed in Data Session. The organization did not have written infection prevention and control goals that included limiting the spread of infections associated with procedures. This observation was reviewed with the Administrator. Observed in Data Session. The organization did not have written infection prevention and control goals that included improving compliance with hand hygiene guidelines. This observation was reviewed with the Administrator. Observed in Data Session. The organization did not have written infection prevention and control goals that included limiting the unprotected exposure to pathogens. This observation was reviewed with the Administrator. Observed in Data Session. Since the organization did not identify infection risks for acquiring and spreading infections; the organization did not have written infection prevention and control goals that addressed its prioritized risks. This observation was reviewed with the Administrator.