Every finding on record at Suite Living Hospice Care, LLC

It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group and written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by a review of clinical records and interviews. In 4 of 7 (57%) records reviewed it was revealed that the agency did not ensure the hospice aide care plan included the frequency of task assignments. Clinical Record 1: The hospice aide care plan dated 01/06/2023 did not include task frequencies for the assigned tasks to date. Clinical Record 5: The hospice aide care plan dated 01/06/2023 did not include task frequencies for the assigned tasks to date. Clinical Record 6: The hospice aide care plan dated 12/01/2022 did not include task frequencies for the assigned tasks to date. Clinical Record 7: The hospice aide care plan dated 01/10/2013 did not include task frequencies for the assigned tasks to date. Interview: During interview with the Clinical Director on 01/31/2023, it was stated that there were no task frequencies assigned.

It is required that a hospice aide provides services that are ordered by the Interdisciplinary Group and included in the plan of care. This standard was not met as evidenced by a review of clinical records and interviews. In 1 of 7 (14%) records reviewed it was revealed that the agency did not ensure that the hospice aide services were provided as assigned by the registered nurse on the hospice plan of care. Clinical Record 2: The hospice plan of care dated 12/14/2022 included an aide task frequency of weekly for linen change, shower, shampoo and an aide visit frequency of three times a week. For the week of 01/09/2023 the aide documented completion of linen change on 01/09/2023 and 01/11/2023. For the week of 01/16/2023 the aide documented completion of shower and shampoo on 01/16/2023 and 01/20/2023 and the completion of linen change on 01/16/2023, 01/17/2023 and 01/20/2023. Interview: During an interview on 01/30/2023, the Clinical Director reviewed the record and stated care was not provided as assigned.