It is required that the hospice maintains, documents, and provides hospice volunteer orientation and training that is consistent with hospice industry standards; it includes: the volunteer’s duties and responsibilities; the person to whom they report; the person to contact if they need assistance and instruction; hospice goals, services, and philosophy; confidentiality and protection of the patient’s and family’s rights; family dynamics and psychological issues surrounding terminal illness, death, and bereavement; procedures to be followed in an emergency and/or following the death of a patient; and guidance specific to individual responsibilities. This standard was not met as evidenced by interview, document review, and personnel record review. In 1 of 1 (100%) volunteer personnel records reviewed revealed the agency did not ensure that volunteer orientation included documentation of the required elements. Agency policy titled Volunteers (HR.95), Last reviewed 090124, stated in part, "The Hospice will maintain, document, and provide volunteer training and orientation that is consistent with hospice industry standards. Personnel Record 8: The hospice volunteer was hired on 06/02/2025. The personnel record contained documentation of volunteer orientation but did not include documentation that the volunteer was trained/oriented to the volunteer’s duties and responsibilities; the person to whom they report; the person to contact if they need assistance and instruction; hospice goals, services, and philosophy; confidentiality and protection of the patient’s and family’s rights; family dynamics and psychological issues surrounding terminal illness, death, and bereavement; procedures to be followed in an emergency and/or following the death of a patient; and guidance specific to individual responsibilities was available. During an interview with the volunteer coordinator (Personnel Record 6) on 10/08/2025, she stated that she believed the orientation included volunteer training. The volunteer coordinator immediately established a volunteer training program and has the volunteer scheduled to come in and complete the training.
Every finding on record at Unity Hospice and Palliative Care, LLC
El Paso, Texas · CCN A91797
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of October 9, 2025
1 finding← Back to the Unity Hospice and Palliative Care, LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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