Every finding on record at St Gilbert Hospice

Upon client record review, 5 of 5 (Patient #1,2,3,4,5) did not have evidence that the plan of care included IDG's documentation of the patient's or families level of understanding, involvement and agreement with the plan of care.

Upon personnel record review, 1 of 14 (Personnel #6) 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.) ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed 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 #6 did not include direct observation of a "Sponge bath". Additionally, the competency for "shower/Tub bath" was marked as "V" for verbalized as the evaluation method.

Upon patient record review, 5 of 5 (Patient #1,2,3,4,5) did not have evidence in the patient record that the interdisciplinary group, as part of the review of the plan of care, determines the ability of the patient and/or family to safely self-administer drugs and biologicals to the patient in his or her home. If the patient and/or family are not capable of safely administering drugs and biologicals in the home, the hospice must address this issue in the patient's plan of care. Patients #1,2,3,4,5 resided at home with family/caregiver. Med Profile indicated medications administered either by patient or family/patient caregiver. There is no evidence in the IDG notes or on the plan of care that states the IDG "determines the ability of the patient and/or family to safely self-administer drugs and biologicals to the patient in his or her home."