Every finding on record at Adora Vida Care LLC

Upon patient record review, 1 of 5 (Patient #2) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #2 RN initial assessment indicated that patient uses cane and walker but cane and walker are not listed in the plan of care. Corrected on site.

Upon client record review, 2 of 5 (Patient #4, #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #4 & #5 There was a physician order for MSW frequency of initial and one per month given but no MSW visits were completed during their hospice services.

Upon client record review, 2 of 5 (Patient #4, #5) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested Patient #4 & #5 There is no evidence in the medical record to indicate that discharge summary was sent to the attending physician.

Upon client record review, 2 of 5 (Patient #4, #5) did not have evidence that the discharge summary includes all required information. Patient #4 Discharge summary contained only this statement: "the patient is seeking aggressive treatment such as physical rehabilitation on specialist consultation". Patient #5 Discharge summary contained only this statement: " the patient is seeking aggressive treatment and wants a pulmonary referral".