Every finding on record at Aloe Vera Hospice, LLC

Upon patient record review, 9 of 14 (Patient # 1, 2, 3, 4, 5, 8, 10, 13 and 14) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patient # 1, 2, 3, 4, 5, 8,10,13 and 14: The comprehensive assessment at start of care did not contain evidence of assessment of imminence of death.

Upon personnel record review, 1 of 12 (Personnel # 5) 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.) ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient.

Upon client record review, 1 of 14 (Patient # 3) did not have evidence that the hospice plan of care identifies the care and services that are needed and specifically identify which provider (nursing facility or hospice) is responsible for performing the respective functions that have been agreed upon and included in the plan of care. Patient 3: There is evidence of wound care orders on POC 12/23/25 without evidence of who is responsible for performing the wound care. COS with updated order.

Upon client record review, 1 of 6 (Patient #3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 3: Plan of care has RN frequency as weekly. On the week of 11/27/22-12/03/22 patient seen on both 11/29/2022 and 11/30/2022. No evidence of PRN visits ordered or Plan of Care frequency update.

Upon patient record review 1 of 6 (Patient #3) 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 • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 3: Aide checked vital signs during surveyor visit, checking vitals was not ordered on aide care plan.