Every finding on record at Radiant Hospice Care Inc

Upon patient record review, 3 of 5 (Patient #2, #4, #5) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #2: The medical record did not contain a walker on the the plan of care that was documented on the nursing comprehensive assessment dated 6-6-22. Corrected on site. Patient #4: The medical record did not contain a bed, nebulizer, suction on the plan of care that was documented on the nursing comprehensive assessment dated 4-14-22. Patient #5: The medical record did not contain a walker, shower chair, commode, nebulizer, and suction on the plan of care that was documented on the nursing comprehensive assessment dated 4-11-22.

Upon personnel record review, 5 of 12 applicable (Personnel #1, #3, #4 #5, #6) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel #1: initial skills competency was incomplete and did not contain evidence of competency specific to nursing including supervision, patient rights, assessment of genitourinary, pulses, edema, vital signs, concepts of death and dying, grief, and symptom management. Personnel #3: initial skills competency was incomplete and did not contain evidence of competency specific to nursing including patient rights, assessment of genitourinary, pulses, edema, vital signs, concepts of death and dying, grief, and symptom management. Personnel #5: initial skills competency was incomplete and did not contain evidence of competency specific to social work including conducting psychosocial assessments, participates in plan of care development, establishing and revising goals, clinical documentation, suicide risk assessment, family counseling, documentation skills containing care plan development, adherence to plan of care, reviews plan of care summary, financial summary, emotional assessment, community resource planning, high risk intervention. Personnel #4: The personnel file did not contain evidence of competency including incident reporting, observation and reporting to RN supervising nurse, adherence to plan of care, documents according to the plan of care, communicates and coordinates if appropriate, emergency procedures, reports, documents key information to the case manager, hospice concept and philosophy, concepts of death and dying, communication skills, acceptance of different cultures and religions, comfort care for the patient and family, and positioning prior to providing care independently. Personnel #6: initial skills competency was incomplete and did not contain evidence of competency specific to spiritual care including conducting spiritual assessments, develops and revises the spiritual plan of care, assess and recommends changes, provides direct spiritual care, communication skills, reporting and documenting skills, plan of care update, summary, incident reporting.