Every finding on record at Pruitthealth Hospice, Inc.

Based on observation, staff interviews, and record review of policy and procedures, it was determined the hospice agency failed to follow standard precautions to prevent the transmission of infectious and communicable diseases during the home visit. This was done by failing to change the water during the bed bath procedure for one patient (P) (P#13) of three home visits (P#6, P#13, P#14). --- The Findings include: On 8/15/2023, at 9:20 a.m., during a home visit with P#13, who resides at a skilled nursing facility (SNF), surveyor along with another surveyor observed Certified Nursing Assistant (CNA) AA perform a bed bath for P#13. CNA AA used the same dirty water to wash P#13s face, upper body, legs, feet, and to also wash P#13s front peri-area (private areas of a patient). On 8/15/2023 at 10:35 a.m., an interview was conducted with CNA AA, who revealed she did not realize she hadnt changed the water. CNA AA confirmed that she used the dirty water to wash P#13s peri-area, she stated she was nervous during the procedure. On 8/15/2023 at 12:05 p.m., an interview was conducted with the Administrator who verbalized understanding for the potential infection control breech by CNA AA failing to change the dirty water. The Administrator further revealed that CNA AA has been trained to use proper infection control techniques. Administrator confirmed that the hospice agency did not have bed bath policy.