Every finding on record at Sonder Healthcare Inc

Upon personnel record review, 11 of 12 (Personnel 2,3,4,5,6,7,8,9,10,11,12) did not have evidence in the personnel files that the hospice is conducting: Initial training in emergency preparedness policies and procedures to all new and existing hospice employees, and individuals providing services under arrangement, consistent with their expected roles, demonstrates staff knowledge of emergency procedures, providing emergency preparedness training at least every two years (the change of one to two years went into effect on November 29, 2019), periodically review and rehearse its emergency preparedness plan with hospice employees (including nonemployee staff), with special emphasis placed on carrying out the procedures necessary to protect patients and others, maintains documentation of all emergency preparedness training, if the emergency preparedness policies and procedures are significantly updated, the hospice must conduct training on the updated polices and procedures (New as of November 29, 2019).

Upon patient record review, 2 of 14 (Patient #7,8) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: Patient 7: The medication profile contains an order for Miralax with no diluent. Corrected on site. Patient 8: The medication profile contains an order for Miralax with no diluent. Corrected on site.

Upon patient record review, 1 of 14 (Patient #6) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 6: The medication profile contains further directives to increase oxygen up 1 liter per minute up to 5 liters and these directives are not on the POC. Corrected on site.

Upon patient record review 2 of 14 (Patient #1,4) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. Patient 1: The medical record contains aide supervisory visits being completed on 12/12/23 and the next one being 12/27/23 this is greater than 14 days. Patient 4: The medical record contains aide supervisory visits being completed on 11/14/23 and the next one being 11/29/23 this is greater than 14 days.

Upon patient client record review, 4 of 14 (Patient #2,4,6,8) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 2: The nurse documents on 8/31/23 "colostomy with beefy red stoma and skin around it is intact". The pt does not have a colostomy. Patient 4: The SN documents 11/8/23 in comprehensive assessment "91 year old male with terminal diagnosis of." The SN also documents A&Ox2, this is not an approved abbreviation. Patient 6: The SN documents on 12/12/23 "GD" and 12/8/23 "GS". These are not approved abbreviations. Patient 8: The SN documents on 1/4/24 "dtr". This is not an approved abbreviation.