Every finding on record at Traditions Hospice of Plainview, LLC

Observed in Competency Session. In 1 of 9 HR files reviewed, the organization did not provide training relevant to their emergency response roles to staff and individuals providing on-site services under arrangement at least every two years. In the record of HR MD there was no documentation that emergency training was completed. This observation was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.

Observed in Record Review. In 2 of 13 patient records reviewed, initial bereavement assessments were not documented in the first five days after patients elected the hospice benefit in the records of HV#1 and RR#8. This observation was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.

Observed in Record Review. In 1 of 13 patient records reviewed, the hospice failed document an initial bereavement assessment in the record of RR#7. This observation was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.

Observed in Record Review. In 13 of 13 patient records reviewed, on-going interdisciplinary meeting notes did not include revised comprehensive assessments that documented decline, revisions to plans of care, and goals. This was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.

Observed in Record Review. In 13 of 13 patient records reviewed, plan of care goals did not include time frames for achieving identified outcomes. This was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.

Observed in Record Review. In 2 of 7 patient records reviewed, where oxygen therapy was provided, plans of care did not include all medications and treatment necessary to meet patients' needs. For example, in the records of RR#3 and RR#8 there were no orders for oxygen. This observation was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.

Observed in Patient Home. In 1 of 2 home visits conducted, where patients were receiving oxygen therapy, the hospice did not reinforce education on the correct storage of medical gases. For example, during HV#3 it was observed that two M-24 oxygen tanks were standing next to the patient's bed. The home health aide did not re-instruct the patient on how to safely store tanks not secured in a holder. This observation was reviewed with the Administrator, Regional Administrator and Regional Clinical Specialist.