Every finding on record at Adlife Hospice Inc

Upon patient record review, 4 of 14 (Patient #3, 6, 7, & 11) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient 3: Plan of care updates include verbiage, "SW visit: SW will be available as needed" and, "MD as needed and recert". No frequency indicated. Patient 6, 7, & 11: Plan of care updates include verbiage, "SW visit: SW will be available as needed". No frequency indicated.

Upon client record review, 2 of 14 (Patient #1,10) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: Psychosocial assessment completed per RN at the time of admission. Documentation there states Social Worker is not needed/desired. However, the initial plan of care contains verbiage for the social worker to perform 1 visit for evaluation of need. There was no evidence of visit being complete or refused. Patient 10: MSW services ordered once monthly on 5/25/23. No evidence of visit being completed or refused from order date through discharge on 7/31/23.