Every finding on record at Wentworth Homecare & Hospice LLC

Based on observation, interview, and record review, it was determined that the facility failed to ensure that the hospice provided infection control education to patients for 1 of 4 patients observed for home visits. (Patient identifier is #18.) --- Findings include:Interview on 5/21/25 at approximately 12:15 p.m. with Staff D (Registered Nurse) and Patient #18's spouse revealed that between home visits from the hospice that Patient #18's spouse provided his/her care, including incontinent care.  Review on 5/22/25 of Patient #18's Physician's orders revealed the following order, dated 4/25/25: Order: Foley (catheter), Goal: Comfort.Review on 5/22/25 of Patient #18's medical record revealed that there was no documentation of infection control education provided to Patient #18's spouse related to catheter care. Further review revealed that the order for a catheter was new for Patient #18 and their spouse to care for the catheter.Interview on 5/22/25 at approximately 11:45 a.m. with Staff B (Administrator) confirmed that there was no infection control education provided to Patient #18 or their spouse related to catheter care.  Interview also revealed that Patient #18 and their spouse had general infection control education provided to all patients in the hospice admission packet.

Based on interview and record review, it was determined that the facility failed to ensure Volunteers provide day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract staff. --- Findings include:Interview on 5/21/25 at approximately 10:05 a.m. with Staff A (Regional Volunteer Coordinator) revealed that the Hospice was not meeting the requirement for Volunteers to provide day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract staff.Review on 5/22/25 of the Hospice Volunteer Requirement Report from December 2024 - April 2025 revealed:December 2024: Volunteer percentage was 0.66%January 2025: Volunteer percentage was 1.08%February 2025: Volunteer percentage was 1.06%March 2025: Volunteer percentage was 1.72%April 2025: Volunteer percentage was 1.34%Review on 5/22/25 of the facility policy titled, Volunteers, Revision Date 7/25/24 revealed:... The hospice will document and maintain a volunteer staff sufficient to provide direct patient care in an amount that, at a minimum, equals five (5) percent of the total patient care hours of all paid hospice personnel....Interview on 5/22/25 at approximately 1:15 p.m. with Staff B (Administrator) confirmed the above findings.

Based on interview, observation, and record review, it was determined that the facility failed to ensure that physician orders were accurate for 1 of 4 home visits observed. (Patient identifier is #18.) --- Findings include:Review on 5/21/25 of Patient #18's Physician's order dated, 5/16/25 revealed the following order:Nurse/Caregiver to provide wound care to left heel pressure injury.... Observation on 5/21/25 at approximately 12:15 p.m. of Patient #18's heel wound with Staff D (Registered Nurse) revealed that Patient #18's right heel had the pressure injury.Interview on 5/21/25 at approximately 12:15 p.m. with Staff D confirmed the above findings.Interview on 5/22/25 at approximately 12:30 p.m. with Staff B (Administrator) revealed that the facility did not have a policy for ensuring accuracy of physician's orders.