Every finding on record at The Clifton Lutheran Sunset Home

Based on record review and interview, the agency failed to be primarily engaged in providing services: 1) Volunteer services This failure placed the agencys active clients at risk for inadequate hospice services. --- The findings included: Review of the agencys volunteer record revealed that the agency has no volunteers on staff. Further review of the agencys volunteer record revealed that the agency has had no volunteers on staff for 2023. During an interview with the Administrator on 7/22/2024 at 2:30 p.m., the Administrator stated that the agency has been having issues with recruitment for volunteer services but is currently devising a plan for recruitment. The Administrator further stated that she is the Volunteer Coordinator for the agency. A Review of the agencys policy titled, ";Volunteer Services" no date, revealed, ";Hospice shall use volunteer to provide assistance in the Hospices ancillary and office activities, as well as in direct patient care services...the ...Volunteer Coordinator develops, implements and evaluates the volunteer services program regularly and at least annually."