Inspection Reports for Capstone Hospice

5550 Peachtree Pkwy Suite 150, Peachtree Corners, GA 30092, GA, 30092

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Inspection Report Summary

The most recent inspection on July 9, 2018, identified deficiencies related to the hospice not providing visits by the chaplain, social worker, and aide as required by patients’ plans of care. Earlier inspections were not provided for comparison, so broader inspection patterns cannot be determined from the available data. The main issues involved missed visits by hospice staff, affecting the frequency of care outlined in patient plans. The complaint that prompted the inspection was unsubstantiated, and no fines or enforcement actions were listed in the available reports. Without additional reports, it is unclear whether these issues represent a continuing trend or isolated findings.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

22% worse than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2018

Inspection Report

Complaint Investigation
Deficiencies: 6 Date: Jul 9, 2018

Visit Reason
The inspection was conducted as a result of an onsite complaint investigation for complaint number GA 00188863.

Complaint Details
The complaint investigation for complaint number GA 00188863 was unsubstantiated.
Findings
The complaint was unsubstantiated; however, a deficiency was cited unrelated to the complaint. The hospice failed to ensure that the frequency of visits by the hospice chaplain, social worker, and aide were provided in accordance with the patients' plans of care for all sampled patients.

Deficiencies (6)
The hospice chaplain did not visit patient #3 during May 2018 as required by the plan of care.
The hospice social worker did not visit patient #3 during June 2018 as required by the plan of care.
The hospice aide missed one authorized visit for patient #4 during the week of 6/17/18.
The hospice aide failed to visit patient #1 the required number of times per week during multiple weeks in May and June 2018.
The hospice chaplain and social worker failed to visit patient #1 during May 2018 as required.
The hospice aide failed to visit patient #2 the required number of times per week during weeks of 5/27/18 and 6/10/18.
Report Facts
Visit frequency: 1 Visit frequency: 1 Visit frequency: 3 Visit frequency: 3 Visit frequency: 2 Visit frequency: 3

Employees mentioned
NameTitleContext
Clinical DirectorConfirmed during interview that surveyors were provided all documentation and that visit frequencies were not followed
AdministratorConfirmed during interview that surveyors were provided all documentation and that visit frequencies were not followed

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