Every finding on record at Always Here Hospice and Palliative Care LLC

Upon client record review, 1 of 5 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2: On 11-11-21, 11-17-21 and 11-24-21, the RN visit notes showed that wound care was being completed. There was no evidence of a wound or interventions documented in the plan of care.

Upon patient record review, 1 of 5 (Patient #4) did not have evidence in the patient record that hospice aide assignments and duties include the tasks to be provided and the frequency of those tasks. Patient #4: The aide care plan written by the nurse on 8-20-21 did not specify whether an electric or straight shave was to be completed.

Upon patient client record review, 4 of 5 (Patient #1, #2, #4, #5) did not have evidence that all entries are clear. Patient #1, #2, #4, #5: These 4 patients were documented as full code by he admitting nurse on the comprehensive assessment and initial plan of care. On the comprehensive assessment documented by the MSW, all 4 patients' documentation showed that they had advance directives on file with the intent of DNR.