Every finding on record at Senescence, LLC

Based on interview and record review the provider agency failed to ensure the plan of care was followed for 1 (#8) of 13 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13) sampled clients. The provider agency failed to ensure Client #8 received the number of required Hospice Home Aide visits. Findings: Review of the clinical record revealed Client #8 had a certification date of 10/20/2021 to 12/18/2021 and a terminal diagnosis of Parkinson's. Review of Client #8's Calendar Frequency of Visits orders revealed in part ... ... ... ...HHA 3 X week 1, 5 X week 8, +PRN, + Phone visits D/T COVID Precautions. Review of Client #8's Calendar Report revealed the client received 4 HHA visits the week of 10/25/2021 and 3 HHA visits the week of 11/15/2021. Interview on 11/22/2021 at 3:55 p.m. with S1 Executive Director confirmed the above findings. She stated the client had not received the ordered number of HHA visits and should have.

Based on observation and interview, the agency failed to make hospice services readily available for 1 (#2) of 3 (#1, #2, and #3) sampled clients who received home visits by failing to provide the agency telephone number for the patient's/caregiver use if needed. Findings: Review of Patient #2's 10/14/2021-1/11/2022 Hospice Certification and Plan of Care revealed a start of care date of 10/13/2021. The patient had diagnoses that included: COPD, Heart Failure, and Hypertensive Heart Disease. Home visit conducted on 11/22/2021 at 8:30 a.m. accompanied by S3 RN revealed the patient sitting in a chair with oxygen in progress. Observation of the room at that time revealed no agency binder was present nor was there an agency telephone number posted in the room. Interview with the patient and caregiver conducted near the end of the visit revealed Patient #2 and her caregiver were unsure of how to reach the hospice agency if needed. S3 RN stated that the agency telephone number was in the patient's binder. The caregiver stated at that time he did not know where the binder was located. The visit was completed and the nurse left the patient's home without giving the hospice telephone number to the patient or caregiver. Interview with S3 RN at this time confirmed that she should have made sure the patient or caregiver had the agency telephone number prior to leaving the home. Interview on 11/22/2021 at 4:10 p.m. with S2 Branch Director revealed that all patients should have access to the agency telephone number to call if needed. She confirmed the RN should have given the patient/caregiver the agency telephone number prior to leaving the home.