Every finding on record at Venerable Hospice Care

Observed in Record Review. In 8 of 8 patient records reviewed, the need for volunteer services was not assessed. This was confirmed by the Volunteer Coordinator.

Observed in Record Review. In 2 of 6 patient records reviewed on oxygen therapy, orders were not clear. In RR#7 and RR#8, the surveyor noted that the patient was prescribed oxygen 2-5 liters per minute via nasal cannula for SOB. Parameters not provided with language that specifies when to titrate. This was confirmed by the Director of Patient Care Services Designee.

Observed in HR File Review. In 6 of 9 HR files reviewed, criminal background check not conducted or documented per organization's Personnel Records Policy No. 4.13.1, which states, Criminal background checks on all employees who have direct patient contact or access to patient records as required by state law. (If no state law, checks must be obtained within 6 months of employment for all states in which the individual has lived or worked during the past 3 years). During survey, background screenings were pulled for all remaining staff. This was confirmed by the Administrator Designee.