Every finding on record at Sojourn Hospice & Palliative Care - Redding, LLC

It is required that a hospice aide provides services: included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 1 of 7 (14%) clinical records reviewed of patients receiving Hospice Aide (HA) services, the agency did not ensure that the HA provided services included in the plan of care. Clinical Record 13: The HA care plan dated 04/09/2024 assigned the HA the relevant task: seated shower. The aide visit note dated 05/14/2024 documented "Performed" for the task: seated shower but documented "Bed bath per patient being completely bed bound." A clinical record review revealed no evidence that the HA care plan had changed. The Regional Director of Clinical Operations/Alternate Director of Patient Care Services (DPCS) confirmed the findings during an interview and a joint record review on 07/10/2024.

It is required that hospice aides must report changes in the patient’s medical, nursing, rehabilitative, and/or social needs to a registered nurse as the changes relate to the plan of care and any quality assessment and improvement activities. The hospice aide must also complete appropriate records of service, including the report of changes in the patient’s needs. This standard was not met as evidenced by clinical record review and interview. In 1 of 7 (14%) clinical records reviewed of patients receiving Hospice Aide (HA) services, the agency did not ensure that the HA reported changes in the patient's needs to the Registered Nurse (RN). Clinical Record 13: The HA care plan dated 04/09/2024 assigned the HA the relevant task: seated shower. The aide visit note dated 05/14/2024 documented "Performed" for the task: seated shower but documented "Bed bath per patient being completely bed bound." A clinical record review revealed that the HA did not notify the RN of the changes in the patient's needs as related to the HA care plan. During an interview and a joint record review on 07/10/2024, the Regional Director of Clinical Operations/Alternate Director of Patient Care Services (DPCS) confirmed that the Hospice Aide had not reported changes in the patient's needs to the RN as the changes related to the HA care plan.