Every finding on record at Provider Link Hospice and Palliative Care Inc

It is required that the hospice provides nursing care under the supervision of a registered nurse. This standard was not met as evidenced by a review of clinical records, document reviews and interviews. In 2 of 2 (100%) records reviewed in which a licensed vocational/practical nurse (LPN/LVN) provided services, revealed that a registered nurse (RN) did not perform LPN/LVN supervisory visits. Clinical Record 3 Election of hospice benefit dated 7/27/22. The LPN/LVN visited the patient on 8/2/22, 8/11/22, 8/17/22, 8/23/22, 9/7/22, & 9/13/22. The RN visited 7/27/22 and 8/30/22. There was no RN documentation that an LPN/LVN supervisory visit was performed. Clinical Record 2 Election of hospice benefit dated 7/25/22. The LPN/LVN visited the patient on 8/4/22, 8/9/22, 8/16/22, 8/24/22, 9/7/22, 9/14/22 & 9/21/22. The RN visited 7/25/22 and 8/31/22. There was no RN documentation that an LPN/LVN supervisory visit was performed. Agency Policy No. 4-008.3 Responsibilities/Supervision of Clinical Services reads in relevant parts that the “LPN/LVN will be supervised by a registered nurse at least every 30 days…” Interview and record review with the QA coordinator (LVN) on 9/27/2022 at 4pm and with the DPCS on 9/29/22 at 9am confirmed this finding.