Every finding on record at Vip Home Health & Hospice Inc.

Based on staff interview, it was determined the Hospice failed to ensure spiritual counseling services were available for patients and families. --- Findings include: 1. On 08/16/23 an interview with the spiritual counselor was requested with the Alternate Clinical Manager (ACM). 2. At approximately 2:00 PM on 08/16/23 the ACM stated that the spiritual counselor was out of the country and unavailable. During the same interview the ACM stated that the Hospice is in the process of hiring a backup spiritual counselor. 3. Finding of Hospice not having an available spiritual counselor was confirmed during an interview with the ACM on 08/16/23 at approximately 2:15pm.

Based on the review of personnel files, Hospice policy review and Staff interview it was determined the Hospice failed to ensure the use of volunteers in day-to-day administrative and/or direct patient care roles. --- Findings include: 1. On 08/15/23 the personnel files for the Volunteer Coordinator and the Volunteer were requested. The Volunteer Coordinator/Administrator was unable to present personnel files for the Volunteers. 2. The Hospice policy titled "Volunteer Services" reviewed on 08/15/23 at 12:30 PM included " Policy... Hospice uses volunteers in administrative or direct patient care roles under the supervision of Volunteer Coordinator... "; 3. During an interview with the Volunteer Coordinator/Administrator on 08/17/23 at 9:50 AM, the Administrator confirmed that the Hospice failed to ensure the use of volunteers in day-to-day administrative and/or direct patient care roles.