Every finding on record at Reliance Health and Home Physician Services, Inc

Based on cost savings records review, and staff interview, it was determined that the agency failed to provide volunteer day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract staff. --- Findings include: Review of the agency's volunteer cost savings reports dated 1/6/2023 through 8/14/24 revealed the agency failed to reveal volunteer day to day activity for the last 12 months. An interview with the Administrator on 9/18/2024 at 1:30 pm confirmed that the agency did not provide volunteer services with direct patient care or administrative services. The Administrator stated that the agency had a census of one patient. Requested volunteer policy for cost savings was not received upon exit of agency survey.

Based on personnel record review, and staff interview it was determined that the agency failed to provide orientation on the hospice philosophy to all employees and contracted staff who have patient and family contact. --- Findings include: Review of personnel records revealed that the agency failed to provide orientation about the hospice philosophy to all employees and contracted staff who have patient and family contact. An interview on 9/18/2024 at 2:00 pm with the Administrator confirmed that the agency failed to provide orientation about the hospice philosophy to all employees and contracted staff who have patient and family contact. Requested policy for orientation on hospice philosophy and was not provided prior to survey exit.

Based on record review and staff interview the hospice agency failed to assess the skills and competence of all individuals furnishing care, including volunteers furnishing services, and, as necessary, provide in-service training and education programs where required. The hospice agency failed to have written policies and procedures describing its method(s) of assessment of competency and maintain a written description of the in-service training provided during the previous 12 months. --- Findings include: Review of agency personnel records revealed that the hospice agency failed to assess the skills and competence of all individuals furnishing care. An interview on 9/18/2024 at 2:30 pm with the Administrator confirmed that the agency did not assess the skills and competency of all individuals furnishing care and provide in-service training. The Administrator was unable to provide documents that supported that the staff had been assessed for competency or provided any in-services in the last 12 months. Requested policy and procedure relating to assessment of competency was not received prior to survey.