Every finding on record at St Francis Palliative and Hospice Care Inc

Upon patient record review, 4 of 5 (Patient #1, 2, 3, 5) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patient # 1, 2, 3, 5 : The comprehensive assessment does not contain evidence of consideration of imminence of death. Section on assessment form is blank.

Upon patient record review, 1 of 5 (Patient #5) 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: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #5: LVN completed a prn visit on 5/23/23 and recorded that MD order was obtained to decrease a medication dose. "Potassium 20mEQ give 1 tablet once daily" is recorded on LVN note and signed MD order, but change in dose from twice daily is not recorded on Medication profile.

Upon personnel record review, 1 of 13 (Personnel 9) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel 9: The competency assessment completed upon hire, 6/17/22, of this CHHA did not include (A) Bed bath, (B) Sponge, tub, and shower bath, (C) Shampoo, sink, tub, and bed, (D) Nail and skin care, (E) Oral hygiene, (F) Toileting and elimination with a patient. These skills are documented as "Verbal" under type of validation on the competency assessment.

Upon client record review, 2 of 5 (Patient #4, 5) did not have evidence that the discharge summary includes all required information. Patient #4: The discharge summary documented in record does not include a summary of the patient's stay, plan of care and latest physician orders. Patient #5: The discharge summary documented in record does not include a summary of the patient's stay, plan of care and latest physician orders.