Every finding on record at A Choice Hospice Corp

Upon patient record review, 11 of 14 (Patient #1, #4, #5, #6, #7, #8, #9, #11, #12, #13, and #14) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. #1, #4, #5, #6, #7, #8, #9, #11, #12, #13, and #14-No Bereavement Assessment was conducted for these patients.

Upon patient record review, 10 of 14 (Patient #2, #5, #6, #7, #8, #9, #10, #12, #13 and #14) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable #2, #5, #6, #7, #8, #9, #10, #12, #13 and #14-The HHA Plan of Care has PRN and/or per patient request documented for several tasks. #5, #7, #10, and #12-Two methods of bathing, shower and bed bath, were assigned on the aide POC.

Upon patient client record review, 2 of 14 (Patient #11, 12) did not evidence that each patient record contains physician orders. #11 and #12-The agency did not obtain a written physician's discharge order from the hospice medical director.