Every finding on record at Align Hospice Care, Inc.

Upon patient record review, 2 of 5 (Patient #1 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 #1: This patient had a cane and shower chair. These were not included on the Plan of Care. Patient #3: This patient had a shower chair. This was not included on the Plan of Care.

Upon client record review, 1 of 5 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1: The POC dated 5-21-22 listed Skilled Nursing visit frequency of 2 X's per week. For Benefit Week 5-15-22 there was only 1 visit on 5-21-22.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #3, The HHA did not use barrier during home visit for the following: Equipment Bag, BP Cuff, Thermometer, Soap container, Notebook and Paper Towel roll. These items were placed directly on the following surfaces without a barrier: dining room chair (bag, notebook), dining table (vital sign equipment) and kitchen countertop (soap container and paper towel roll)

Upon patient record review 2 of 2 applicable (Patients #3 and #4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient #3: The Plan of Care dated 5-28-22 listed the aide visit frequency of 2x's week. There were no aide visits made benefit week one between 5-22-22 and 5-28-22. SOC was 5-28-22, Saturday. Patient #4: The Plan of Care dated 4-2-22 listed the aide visit frequency of 2x's week. There were no aide visits made benefit week one between 3-27-22 and 4-2-22. SOC was 4-2-22, Saturday.