Badger Hospice

“It is required that a hospice aide provides services included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 2 of 18 (11%) clinical records reviewed for patients that elected aide services revealed the agency did not ensure the hospice aide provided services as ordered on the aide care plan. CLINICAL RECORD 3: The aide care plan dated 07/07/2025 ordered the task “Hair Care: Comb/brush” every visit. The aide was ordered to complete two (2) visits per week. The aide visit note dated 10/31/2025 lacked evidence that the aide completed the task “Hair Care: Comb/brush”. The record lacked evidence of supportive documentation as to the reason “Hair Care: Comb/brush” was not completed by the aide, as ordered. CLINICAL RECORD 4: The aide care plan dated 10/28/2025 ordered the tasks for Bathing: “Bed bath” and “Assist to dress”; and for Oral Care: “Swab/clean mouth” and “Assist with brushing teeth” every visit. The aide was ordered to complete two (2) visits per week. The aide visit note dated 10/28/2025 lacked evidence that the aide completed the task “Assist with brushing teeth”. The record lacked evidence of supportive documentation as to the reason “Assist with brushing teeth” was not completed by the aide, as ordered. The aide visit note dated 10/30/2025 lacked evidence that the aide completed the tasks “Bed bath”, “Assist to dress”, “Swab/clean mouth” and “Assist with brushing teeth”. The record lacked evidence of supportive documentation as to the reason “Bed bath”, “Assist to dress”, “Swab/clean mouth” and “Assist with brushing teeth” was not completed by the aide, as ordered. The Clinical Manager and Alternate Clinical Manager stated in an interview on 11/12/2025, while completing joint clinical record review, that the aide did not complete tasks, as ordered, on the aide care plan.”

“It is required that hospice aides must report changes in the patient’s medical, nursing, rehabilitative, and/or social needs to a registered nurse as the changes relate to the plan of care and any quality assessment and improvement activities. The hospice aide must also complete appropriate records of service, including the report of changes in the patient’s needs. This standard was not met as evidenced by clinical record review and interview. In 2 of 6 (33%) clinical records reviewed for patients that elected hospice aide services revealed the agency did not ensure the aide reported changes in the patient’s medical needs to the RN as the changes related to the aide care plan. CLINICAL RECORD 3: The aide care plan dated 07/07/2025 ordered the task “Hair Care: Comb/brush” every visit. The aide frequency was two (2) visits per week. The aide visit note dated 10/31/2025 lacked evidence that the aide completed the task “Hair Care: Comb/brush”. The record lacked evidence of supportive documentation as to the reason “Hair Care: Comb/brush” was not completed by the aide, as ordered. Furthermore, the record lacked evidence that the aide notified the RN of the above changes in the patient’s medical needs as related to the ordered task “Hair Care: Comb/brush”. CLINICAL RECORD 4: The aide care plan dated 10/28/2025 ordered the tasks for Bathing: “Bed bath” and “Assist to dress”; and for Oral Care: “Swab/clean mouth” and “Assist with brushing teeth” every visit. The aide frequency was two (2) visits per week. The aide visit note dated 10/28/2025 lacked evidence that the aide completed the task “Assist with brushing teeth”. The record lacked evidence of supportive documentation as to the reason “Assist with brushing teeth” was not completed by the aide, as ordered. Furthermore, the record lacked evidence that the aide notified the RN of the above changes in the patient’s medical needs as related to the ordered task “Assist with brushing teeth”. The aide visit note dated 10/30/2025 lacked evidence that the aide completed the tasks “Bed bath”, “Assist to dress”, “Swab/clean mouth” and “Assist with brushing teeth”. The record lacked evidence of supportive documentation as to the reason “Bed bath”, “Assist to dress”, “Swab/clean mouth” and “Assist with brushing teeth” was not completed by the aide, as ordered. Furthermore, the record lacked evidence that the aide notified the RN of the above changes in the patient’s medical needs as related to the ordered tasks “Bed bath”, “Assist to dress”, “Swab/clean mouth” and “Assist with brushing teeth”. The Clinical Manager and Alternate Clinical Manager stated in an interview on 11/12/2025, while completing joint clinical record review, that the aide did not notify the RN of tasks not completed that were ordered on the aide care plan.”