Every finding on record at Ahc Home Health of Cleveland, LLC

Upon patient record review, 3 of 7 (Patient #2, 6, 7) 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 medications and treatments. Patient # Patient #2 - Patient in an ALF. POC contained wound care 3 x week to L medial ankle, cover with DSD - facility nurse to change PRN - no modifier for PRN. Patient #6 - Patient in an ALF. POC contained wound care - R foot, clean with wound cleanser, cover with Mepilex - ALF to perform T, Th, F, Sat, Sun and PRN - no modifier for PRN. Patient #7 - POC contained "change Foley catheter 16F 10cc monthly and PRN" no modifier for PRN.

Upon personnel record review, 1 of 12 (Personnel #4) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink or tub