Every finding on record at Aeon Home Care and Hospice LLC

Upon patient record review 9 of 14 (Patient #1,2,3,4,5,6,7,8,13) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity throughout the dying process. Patient #1,#3,#4,#5,#6, #7,#8,#13: There was no evidence of a psychosocial assessment. Patient #2: There was no evidence of a spiritual or psychosocial assessment.

Upon patient record review, 3 of 14 (Patient #1, #4, #6) did not have evidence in the patient record that hospice aide assignments and duties are: • 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 Patient #1: The aide plan of care dated 01-10-25 documented "as needed" for tasks change linens and make bed. Additionally, on the same plan of care, the frequency for the aide was documented as 1-2/week. Patient #4: The aide plan of care dated 01-08-25 indicated the activities of Shave, assist with bedpan, incontinence care and bedside commode were assigned "as needed." Patient #6: The aide care plan dated 10-28-24 indicated the activities of change linen and make bed were assigned "as needed."

Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. The 2024 annual and QAPI report indicated volunteer hours of less than 5%.

Upon client record review, 1 of 14 (Patient #4) did not have evidence that the hospice forwarded a summary and a copy of the patient record, if requested, to a facility when transferring the patient to that facility. Patient #4: There was no evidence of a transfer summary being forwarded to the accepting facility.

Upon patient record review, 3 of 14 (Patient #1,#5,#8) did not have evidence in the patient record that the interdisciplinary group, as part of the review of the plan of care, determines the ability of the patient and/or family to safely self-administer drugs and biologicals to the patient in his or her home. If the patient and/or family are not capable of safely administering drugs and biologicals in the home, the hospice must address this issue in the patient's plan of care. Patient #1,#5,#8: There was no evidence in the plan of care or nursing documentation that the patient or caregiver were assessed for the ability to administer medications.

Upon patient record review, 2 of 11 (Patient #2 and #3) 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: This patient had a walker. This item was not included on the Plan of Care. Patient #3: This patient had a bed, walker, oxygen and shower chair. These were not included on the Plan of Care.

Upon patient client record review, 2 of 11 (Patient #3 and #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #3 CTI dates from 11-4-21 to 2-1-22 were not congruent with start of care date of 11-12-21 as indicated on Election of Benefit form. The benefit period from start of care would be 11-12-21 to 2-9-22. Patient #4 CTI with narrative was completed by not signed by the medical director.