Inspection Reports for
Everystep

Complaint #115237-I was investigated and found to have no conditional or standard level deficiencies.

No conditional level or standard level deficiencies were identified during the investigation.

Complaint #110033-C was investigated; no condition level deficiencies were found, but one standard level deficiency was identified related to care planning. The complaint was substantiated by findings.

The hospice failed to ensure the individualized plan of care was reviewed and revised at least every 15 days for one of six sampled patients, placing patients at risk of not receiving appropriate care. No condition level deficiencies were identified; one standard level deficiency (L552) was cited related to care planning.

Complaint #104045-I was investigated with no condition level deficiencies identified but one standard level deficiency related to coordination of services was found.

The hospice failed to ensure care and services were provided in accordance with the plan of care for 1 of 4 sampled patients, specifically failing to update the plan of care with new physician orders for Morphine Sulfate, placing patients at risk of not receiving services and medications according to assessed needs and physician orders.

The complaint investigation was substantiated for the allegation related to 42 CFR 418.56 Interdisciplinary Group, Care Planning, and Coordination of Services with standard level deficiencies. Other allegations were unsubstantiated with no deficiencies.

The allegation related to Interdisciplinary Group, Care Planning, and Coordination of Services was substantiated with standard level deficiencies. Allegations related to Patient rights, Licensed Professional Services, and Discharge or Transfer of care were unsubstantiated with no deficiencies. The hospice failed to ensure the Interdisciplinary Group reviewed and revised the patient's plan of care based on updates to the comprehensive assessment for 3 of 6 sampled patients.

Complaint #97456-C was investigated and found unsubstantiated with no deficiencies related to 42 CFR 418.52 Patient rights, 42 CFR 418.54 Initial and Comprehensive Assessment of the Patient, and 42 CFR 418.56 Interdisciplinary Group, Care Planning, and Coordination of Services.

The allegations related to patient rights, initial and comprehensive assessment of the patient, and interdisciplinary group care planning and coordination of services were all unsubstantiated with no deficiencies found.

Complaint #96393-C was investigated and found unsubstantiated in all cited areas: patient rights, interdisciplinary group care planning, and inpatient hospice care.

The complaint survey found that the allegations regarding patient rights, interdisciplinary group care planning, and inpatient hospice care were unsubstantiated without any related or unrelated deficiencies.

Complaint #89171-C was investigated and found to be unsubstantiated with no deficient practices identified.

The hospice was found to be operating in compliance with CFR 418.60 Infection Control with no deficient practices identified.