Every finding on record at Rubicon Hospice Care

Upon client record review, 1 of 14 (Patient #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 5: Skilled nursing visits are ordered for 1 x weekly. During the months of June and July, the LVN visited the patient 1 x weekly - on June 08, 15, 22, 29, and July 06, 13, and 20. However, the RN also visited the patient on the following dates for a comprehensive assessment and supervisory visit - June 06 and 20, July 04 and 18. There were no orders for 2 SN visits weekly on the weeks when both the LVN and RN visited the patient. (DPCS corrected the order string on sight to accommodate the RN visits)

Upon patient record review, 2 of 14 (Patient #4, 7) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 4: The hospice aide care plan, dated 03.18.2022, did not specify the frequency of the personal care tasks the aide is to perform, such as providing a bath via shower chair, shampooing the hair, and brushing the teeth. (corrected onsite) Patient 7: The hospice aide care plan, dated 11.08.2022, did not specify the frequency of the personal care tasks the aide is to perform, such as providing a bath via shower chair and shampooing the hair. (corrected onsite)