Every finding on record at Sovereign Hospice Inc

Based on record review and interviews, the agency failed to provide documentation of RN supervisory visits of the hospice aide every 14 days in the clinical record for 2 (#7 & #8) of 2 patients diagnosed with heart failure. The failure placed the patients at risk of receiving inappropriate or inadequate care. --- Findings: Record review of client #7s record revealed informed consents by the patient on 4/3/2023. The record revealed nurse visits dated 4/10/23, 4/17/23, 5/17/23, 5/29/23, and 6/14/23 that stated supervisory (nurse aide) visits were to be completed every 14days." Completed supervisory visits were done 5/1/23, 5/12/23, and 6/19/23. Record review of patient #8s record revealed informed consents signed by the medical power of attorney on 6/15/2023. The record revealed supervisory visits were not completed until 7/4/23. Per interview 8/10/2023 about 11:00 am employee #1 stated, ";I ask about the aide every visit and usually put something in my narrative regarding if the aide is still doing ok but I do a supervisory visit every 14 days," Per interview 8/10/23 about 2:00 pm the administrator stated, ";try to do a supervisory visit every 7 days. Always put the aides name with the supervisory visit. The supervisory visit should be in a separate area in the chart with the aides name. If they dont have the aides name and actual supervisory visit, I dont consider it a supervisory visit." The agency had a policy HR.11 titled; ";Employee Supervision" dated 11/01/08. The policy read in parts; ";...Purpose: to establish employee supervision practices in accordance with applicable federal and state laws and regulations. Policy: Agency will provide timely supervision of the following employees by qualified individuals: Home health Aides: By a registered nurse no less frequently than every 14 days and annually to the location where a patient is receiving care..."