Every finding on record at Premier Hospice, LLC

Observed in Record Review. In 1 of 8 active records reviewed the organization did not provide the patient care according to the individualized plan of care. Identified in RR3, the frequency ordered for the Hospice Chaplain on the initial plan of care approximately 22 weeks prior to the survey date, was once per week. Reviewed in the patient's record, the Chaplain missed (14) fourteen Spiriual Care visits during this 22 week period. This was reviewed and validated with the Director of Clinical Services.

Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not implement infection prevention and control activities to reduce the risk of infection. Observed in HV#2, the Registered Nurse (RN) used a rolling nurse bag and did not follow the organizational Policy No. 9014.1 Bag Technique which states: 1. The bag will be paced on a clean dry surface (i.e., a surface that can be easily disinfected) in the car and in the home. The RN rolled the bag through the street and side walk, into the front entrance of the home, positioning the bag onto the patient's living room carpet. This was reviewed and validated with the Director of Clinical Services present during the home visit. Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not ensure the use of standard precautions to reduce the risk of infection in accordance to organizational Policy No. 9-009.1,2: 3) Rinse with water and dry the hands with a disposable towel . . . , and 4) Use a disposable towel to turn off faucet. Observed in HV#2, the Registered Nurse did not have a disposable towel available during hand washing, turning the faucet off with her clean hands, and drying her hands by shaking/waving them in the air and then wiping them on her uniform pants. This was reviewed and validated with the Director of Clinical Services.

Observed in Tracer Activities. In 2 of 2 Bereavement Records reviewed, the Surveyor identified that the organization had not developed individualized Bereavement Plans of Care in accordance with Policy No. 2-010.1,2 - Bereavement Services - 2. After the bereavement risk assessment is completed, a plan will be developed to address bereavement/grief issues and will be implemented and updated as needed. This was reviewed and validated with the Bereavement Coordinator and the Director of Clinical Services.