Every finding on record at Serenity Hospice Penn LLC

Based on review of hospice documentation and staff interviews, the hospice failed to document that volunteers provided 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. --- Review of hospice volunteer program documentation on November 16, 2023, at approximately 11:00 A.M. revealed no documentation of volunteer service hours equaling at least five (5) percent of the total patient care hours of all paid hospice employees. An interview with the hospice executive director on November 13, 2023, at approximately 11:00 A.M. revealed that the hospice does not have a volunteer services coordinator at this time. The hospice executive director has been assuming the responsibilities of the volunteer coordinator. The executive director stated that the hospice has had difficulty recruiting volunteers since the pandemic. A new volunteer services coordinator has been hired and will be starting soon. An interview with the hospice executive director on November 16, 2023, at approximately 2:00 P.M. reconfirmed the above finding.